2018 NBC-LEO Board Application

All candidates interested in applying for or renewing Officer, At-Large, and Regional Director positions for the NBC-LEO Board of Directors must complete this form by October 13, 2017. An election will be held during the NBC-LEO General Membership Meeting at the upcoming NLC City Summit, November 15-18, 2017, in Charlotte, NC. Prospective candidates should be prepared to discuss their interest in serving on the NBC-LEO Board of Directors during this meeting.

To be eligible to serve on the NBC-LEO Board of Directors, the applicant must:

1. Submit this form electronically by October 13, 2017. Please note that applications will not be accepted onsite at City Summit;

2. Be from an NLC direct or affiliate member city;

3. Be a current member of NBC-LEO, with up-to-date and paid membership dues and activity fees at time of application;

4. Be actively engaged in NBC-LEO;

5. If appointed, attend at least two business meetings annually and participate regularly in working groups and conference calls.

Application Deadline: October 13, 2017
  • Part I - Personal Information

  • Note: 3 additional At-Large Board members are appointed by the NBC-LEO President.
  • Region 1 (VT, NH, ME, MA, CT, RI)
    Region 2 (PA, NY, NJ)
    Region 3 (KY, WV, VA, MD, DC, DE)
    Region 4 (OH, IN)
    Region 5 (MI)
    Region 5 (MI)
    Region 6 (IL)
    Region 7 (ND, SD, MN, WI)
    Region 8 (MO, IA, NE, KS, CO)
    Region 9 (AK, WA, OR, ID, MT, WY)
    Region 10 (NV, UT, AZ, HI)
    Region 11 (NM, OK, TX)
    Region 12 (AR, TN)
    Region 13 (LA)
    Region 14 (MS)
    Region 15 (AL)
    Region 16 (GA)
    Region 17 (SC)
    Region 18 (NC)
    Region 19 (FL)
    Region 20 (CA)

  • Your city/town must be a member of NLC in order for you to serve on the NBC-LEO Board.
  • Please Select a Range
  • / /
  • Primary means of communicating with NLC.
  • This section is for an additional staff person you would like to receive copies of NLC correspondence.
  • - -
    Daytime phone number
  • - -
    If your preferred daytime phone number is not your cell phone
  • Part II - Social Profile

    The following information is optional but helpful for engagement with NLC.
  • Part III - Demographics

    The following information is optional and is requested to help ensure diversity in the NLC governance structure.
  • If Other, please describe in the field below
  • If Other, please describe in the field below
  • Part IV - Biographical Sketch

  • Please attach a brief bio (150-300 words) that includes any NLC and state municipal league leadership or service and highlights the leadership skills you would bring to the Board as an NBC-LEO Officer or as a member of the NBC-LEO Board of Directors.
  • Please attach a high-resolution photo, in jpg or png format, to be used for the website and NLC press releases.