Full Name

Email Address

Why do you want to join NAMIC?

What attributes do you think you could bring to NAMIC?

How do you plan to get involved in NAMIC

Are you involved in any other organizations / special programs inside/outside work?

How much time per month are you willing to dedicate to support the NAMIC organization

What are you looking to gain from NAMIC

Would your leadership team support your involvement in NAMIC

Do you frequent social media?

Are you open to feedback that would promote your career growth?