First Name *

Last Name *

Nominee Bio *

Please provide a brief overview of your background, including your connection to Qigong and any relevant business, leadership, or organizational experience that would support your role on the Board.

Membership Category *

Practitioner

Professional

Certified Professional

Lifetime

How long have you been a member of the NQA? *

Have you ever served on any of the NQA committees? *

Yes

No

If yes, please describe your role(s) and length of service.

Have you ever attended any of the annual NQA Conferences? *

If yes, please share details about your participation.

In what other ways do you actively support the NQA?

E.g., volunteering, outreach, event participation

Have you served other organizations in the past?

Include roles such as management, board service, or committee involvement, with details about your contributions.

Do you have any talents, skills, or areas of expertise that would be valuable for Board service?

What specific goals, projects, or initiatives would you like to focus on as a Board member?

What is your long-term vision for the NQA, and how would you contribute to achieving it? *

Do you have the time and energy to commit to the responsibilities of a Board member?

This includes attending monthly meetings (1.5 hours), participating in email correspondence, and potentially serving on a committee.

A) Yes, I can fully commit to the required responsibilities.

B) Yes, I can commit to most responsibilities, with occasional flexibility.

C) I may be able to commit, but I would need to discuss potential adjustments.

D) No, I do not have the time or energy to commit to the responsibilities at this time.

Please upload a professional headshot

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