NCPMA Board and Committee Interest Survey

Contact Information

First Name
Last Name
Job Title
Company
City
Email
Mobile Phone
Tenure in the Industry
Are you a general member or an allied/associate?
Are you certified in pest or wood?
Tell us about your pest management experience.
Are you interested in serving on the Board of Directors or a Committee?
What position on the board of directors interests you?
Have you served on the NCPMA Board of Directors or Committees? Please list your experience here.
Have you served on other Boards of Directors or held leadership positions with community organizations?
Have you completed one of NCPMA's programs such as the Premier Technician or Leadership Development Academy? Please list which one(s).
   - denotes required fields