To start, please provide your information:
Contact Information
First Name
Last Name
Email Address
Phone
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Your Interest:
When it comes to Appointments/Commissions, what are your areas of interest and policy issues in which you are most passionate?
At what level are you interested in being appointed to a Board/Commission (select all that apply)?
Local
State
Federal
When are you available to serve?
Immediately
Within the next 6 month
In a year
As a result of The Policy Circle/CLER, have you already applied for an appointment or commission?
Yes
No
Please list any leadership development/training programs you would like to pursue as part of the ASAP Network.
Submit Your Materials:
Please attach an updated resume.
Please upload a recent, high-resolution headshot that can be used during the appointment process
Agreements:
Do you agree with The Policy Circle's values of championing free market principles, entrepreneurship, and personal agency?
Please select...
Yes, I agree
No, I do not agree
Do you agree to be an active participant in the appointment process should you choose to or be asked to apply to a Board or Commission?
Please select...
Yes, I agree
No, I do not agree
The ASAP Network requires active membership in TPC at a minimum of $300/year. Do you agree to maintain your membership in The Policy Circle?
Please select...
Yes, I agree
No, I do not agree
Do you have a current/active Policy Circle Membership?
Please select...
Yes, my membership is active
No, I need to join/renew
After submitting this application, please join or renew your membership in The Policy Circle by visiting
www.thepolicycircle.org/invest