INSTRUCTIONS/REGISTER

 

 

 

 


NAA STAFF VISIT REQUEST FORM

Please use this form to request a visit by a member of NAA or NAAEI Staff.

If you would like to request a visit by an NAA volunteer leader, please complete the Officer/Regional Vice President Visit Request Form.

NAA Staff Visit

Please provide information on what you would like accomplished during a visit from NAA or NAAEI staff. Topics covered can include an NAA overview, board orientation or updates on NAA education programs, legislative updates and more. If you have a preference for a staff member, please indicate his or her name on the form. 



Affiliate Name:


Affiliate Address:

City/State/Zip



Contact Name (of person making the request):


Contact Title:

Phone:

Fax:

E-mail:

VISIT INFORMATION

Visit Date(s):


Visit Time(s):

Type of Event:







Other:


Desired Goal(s) of Visit:


Topics to Be Covered:









If you have a preference for which NAA or NAAEI Staff Member you would like to have visit, please indicate here:

NAA will assume all costs associated with this visit if approved.

QUESTIONS? Please contact Valerie Hairston at 703/518-6141 Ext 138 or Stephanie Boyer at 703/518-6141 Ext 625.