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DEI Committee Application

Thank you for your interest in serving on the NSA Diversity, Equity & Inclusion (DEI) Committee. Please complete the application below as thoroughly as possible. Fields marked with * are required.

Applications close October 1st, 2025.

First name

Last name

Address

Do you stutter?

Yes

How many NSA conferences have you attended?

Are you able to attend regular virtual meetings with the committee? Occurring every 1 or 2 months, with more frequent monthly meetings occurring closer to the conference.

What Is Your Availability?

Yes, I am available

No, I am not available

Are you currently involved with a local NSA Chapter?

Yes

Experience & Expertise

Please describe any personal experience, professional expertise, or areas of knowledge that you believe would benefit the NSA DEI Committee and our programs.

Your Interest in the DEI Committee

Why are you interested in joining the NSA DEI Committee?

What ideas do you have for workshops, panels, or social activities that could strengthen the DEI experience at our Annual Conference? (You may also share the types of sessions or activities you would personally like to attend.)

What ideas do you have for building connection and encouraging interaction among members throughout the year (outside of the conference)?

Additional Materials (Optional)

If you would like, please upload supporting materials that highlight your experience (e.g., resume, newsletter article, published work, etc.).

File upload

(Accepted file types: .doc, .pdf, .png, .jpg | Max. size: 10 MB)

DEI Committee Application

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