2025 NASW-NY Nomination Form for Chapter Election

The Chapter’s Committee on Nominations and Leadership Identification (CNLI) uses this information to establish the preliminary slate for elected governance positions for the 2025 Board of Directors. You may nominate yourself or another qualified individual. All nominees must be a member in good standing of the NASW-NYS/NYC Chapters. If you would like details regarding the duties and responsibilities of the respective positions, please email Kelly Moskos at kmoskos.nasnyc@socialworkers.org

*DEADLINE TO SUBMIT FORM IS MAY 2, 2025*

POSITIONS OPEN FOR ELECTION

President-Elect/President: 1 Year as President-Elect & 2 Years as President
Secretary - 2 Years
MSW Representative - 1 Year
BSW Representative - 1 Year
Central Division Director - 2 Years
Mohawk Valley Division Director - 2 Years
Nassau Division Director - 2 Years
Suffolk Division Director- 2 Years
Western Division Director - 2 Years
Westchester Division Director - 2 Years
Manhattan Division Director - 2 Years
Brooklyn Division Director - 2 Years
Queens Division Director - 2 Years
Bronx Division Director - 2 Years
Staten Island Division Director - 2 Years

Full Name *
Credentials (If no credentials, select N/A) *
Elected Position Most Interested in Running *
Member of NASW-NYS/NYC *
Yes Will Become Member by May 2, 2025
Preferred Email to be contacted *
Preferred Number to be contacted *
Name of Employer and Title
If Student, Name of School Attending and Expected Graduation Date
Gender
Sexual Orientation (Optional)
Ethnicity (optional)
American Indian/Native American Arab/Middle Eastern Black Latino Asian American/Pacific Islander White Other
Areas of Expertise *
Specific Qualifications that Reflect Readiness for the Position Recommended *
Biographical Statement — (150 words or fewer) including information about present employment, NASW activities, professional affiliations, and awards received. Please note that if approved to run for chapter office, this biographical statement will be published/distributed. *
Platform Statement — (150 words or fewer) may include commitment to the Association and qualifications for the position. Limited editing will be done on the information received. Please note that if approved to run for chapter office, this platform statement will be published/distributed. *
Please upload high-resolution jpg headshot. Please note that if approved to run for chapter office, this photo will be published/distributed.
*

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Linkedin or Social Media Handle (If Applicable)
If This Is Not a Self-Referal, Please Fill Out the Following:

Your Name
Preferred Number to Be Contacted
Preferred Email to Be Contacted
Draw your signature into the box below.

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