NSSLHA Regional Delegate Application
(Region 1, Region 3, Region 4, Region 6, Region 9, Delegate-at-Large)
Applications, letters of recommendation, and resumes must be received by March 1, 2015. Application materials are not complete until all components are received in the national office:
- completed application
- statement of interest
- reference letters from one professional (i.e., teacher, advisor, mentor, supervisor) and one student
A position as a delegate is a two-year commitment (one year if you are a Member-at-Large delegate). A candidate may apply if they will be enrolled in a program for at least three academic semesters of the 2-year term (or 2 academic semesters for the Member-at-Large delegate). Graduate students are eligible to apply even if they will be in a Clinical Fellowship or externship for 3–6 months of the term (and have not applied for the Certificate of Clinical Competence [CCC's]).
More information is available on the NSSLHA Governance webpage.
* indicates required field.
Please have one professional and one student provide references on your qualifications for this position. Please encourage them to send their reference letters electronically to email@example.com.
Send an electronic photograph that may be used for publication to firstname.lastname@example.org.
Documents and Attachments
You may share electronic documents or publications, videos, or PowerPoint presentations that will demonstrate your abilities as a leader. Send these attachments to email@example.com.