What Form Will You Be Submitting?*Chapter Leadership Results FormChapter Officer AppointmentsChapter:*AlabamaAlaskaAlohaArizonaArizona SouthBaltimore/WashingtonBig SkyBritish ColumbiaCalifornia CapitalCarolinaCentral Coast and ValleysCentral FloridaCentral New YorkCentral OhioChicago Mid WestColumbia RiverEastern CarolinasFlorida Treasure CoastGA/SC CoastalGeorgiaIndiana StateIowaKentuckianaLA/MS/ARMaineManhattanMetro New YorkMichigan StateMid AtlanticMinnesota StateMissouri/So. IllinoisMountain StatesNebraska/KansasNew MexicoNew York Tri StateNorth FloridaNorthern CaliforniaNorthern MichiganNorthern New EnglandNorthern New JerseyOhio StateOhio ValleyOklahomaOlympic-West SoundOntario/CanadaOttawaPalousePiedmont Blue Ridge CarolinaPittsburgh Tri StatePrairie ProvincesPuget SoundRocky MountainSan DiegoSan Joaquin ValleySierra NevadaSouth FloridaSouthern CaliforniaSouthern New EnglandSouthern Ohio/KentuckySusquehanna ValleySouthwest DesertSouthwest FloridaTennesseeTexas Gulf CoastTexas Hill CountryTexas North PlainsTexas South PlainsVirginia StateWest MichiganWestchesterWisconsin/Upper MichiganSubmitted by: Your Name* First Last Your Email* Date:* MM slash DD slash YYYY Note: Please fill in all the chapter officer's information even if they are not newly elected to their position.President:*NameCompany NameCompany AddressCompany PhoneEmailThis position should be continuing and should be verified by Chapter Relations Department if it is a new individualPrograms Chair:*NameCompany NameCompany AddressCompany PhoneEmailThis position should be continuing and should be verified by Chapter Relations Department if it is a new individualCommunications Chair:*NameCompany NameCompany AddressCompany PhoneEmailThis position should be continuing and should be verified by Chapter Relations Department if it is a new individualMembership Chair:*NameCompany NameCompany AddressCompany PhoneEmailSecretary/Treasurer:*NameCompany NameCompany AddressCompany PhoneEmailChapter Officer AppointmentsCHAPTER OFFICER APPOINTMENT (Not an elected or self-nominated position. To be used, outside the officer election timeframe, for appointments to open positions.) Appointments are made outside the election cycle, anytime throughout the year when a position is open. Chapter officer positions will be a two-year term, with the option to self-nominate again for another two-year term. Once an officer has served for four years, they must be off the council for at least one year. Chapter Officers have an obligation to represent the entire membership of the NKBA and support the policies of the NKBA including the legislation policies adopted by their Board of Directors.Appointed Position:*PresidentPrograms ChairCommunications ChairMembership ChairSecretary / TreasurerOfficer Name:* First Last Company Name:* Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone:*Email:* Notes:* This appointment is fulfilling an unexpired term This appointment is filling an open position Effective Date of Appointment:* MM slash DD slash YYYY
