Officer Positions - Public Relations Society of America

THE PUBLIC RELATIONS SOCIETY OF AMERICA
2014 CANDIDATE APPLICATION FORM
Officer Positions
ABSOLUTE APPLICATION DEADLINE IS TUESDAY, JUNE 17, 5 P.M.
(in the time zone in which the candidate resides)
When you submit your application electronically, you will receive an automated e-mail confirmation within the hour.
If you do not receive this automated e-mail it is your responsibility to contact PRSA
at nomcomm@prsa.org or 212-460-1403 to confirm receipt of your application.
Note that this application will be posted on the PRSA website with the exception of the information contained in Sections
D (“Legal, Regulatory and Other Matters”) and E ("Candidate Contact Information"). It is the candidate's responsibility
to ensure that all information submitted in this application - such as dates, awards, etc. is true and accurate. Candidates
are urged to proofread their applications carefully as changes and corrections are not permitted after the applications
are posted on the PRSA website nor are corrections made by PRSA staff. All information must be typed. Please submit
the application electronically for posting on the PRSA website.
Last Name
Vallbona
First Name Marisa
PRSA Designation APR, Fellow PRSA
Company
CIM Incorporated
Title
President
Address 1
8677 Villa La Jolla Dr. 1105
Middle Initial
(APR, Fellow PRSA)
Address 2
City, State, Zip
San Diego, CA 92037
Public Relations Agency
What is your organization? (e.g., public relations agency, solo
practitioner/counselor, corporation, association, university, etc.)
Work Telephone
619-708-7990
PRSA District
Western
Work E-Mail marisa@cimincorporated.com
PRSA Chapter Membership(s)
(Dates, Chapter Name)
1985 - 1987, PRSSA University of Texas at Austin
1993 - present, PRSA San Diego/Imperial Counties
PRSA Section Membership(s)
(Dates, Section Name)
Counselors Academy
Date Joined PRSA
1993
As set forth in Article V, Section 2 of the PRSA Bylaws, to be eligible to serve as director individuals must be
APR, must be a member of PRSA in good standing, and also have at least one of the following qualifications:
(1) held a leadership role within the Society, including but not limited to, served as a member of a Chapter,
District, or Section board of directors, chaired a national or local committee or task force, or served as a
National PRSA Assembly delegate; or (2) served as a public relations professional for 20 or more years, with
increasing levels of responsibility.
Please indicate the year in which you attained APR accreditation
1993
Section A: PRSA Activity Record. Please fill in the date of service, name of Chapter/District/
Committee/Task Force, etc., as well as leadership position(s) held. Contact PRSA Headquarters
for assistance if you are unsure about certain dates of service.
(Example: 2000-2001 - New York Chapter - President)
PRSA Fellow (Year Inducted)
2008
Chapter Officer/Board Ethics Officer, San Diego/Imperial Counties Chapter, 2005 - 2011
and other Leadership Professional Advisor to PRSSA Chapter, San Diego State University, 2008 - present
Member, Board of Directors San Diego/Imperial Counties Chapter, 1993 - 2000
Positions
APR Chair, San Diego/Imperial Counties Chapter, 1994 - 1995
Local (Chapter/District) 2009 PRSA International Conference Co-Chair (Held in San Diego)
Committee/Task Force
Chair
District Officer
National Section
Chair/Officer
Voting Assembly
Delegate
National Committee/
Task Force/Advisory
Board Chair/Co-Chair/
Member
National Board
Officer/Member
Other
Member, Western District Board of Directors, 1999 - 2002
Member, Western District Board of Directors, 2005 - 2007
Chair, Universal Accreditation Board (UAB), 2007
International Assembly Delegate, 2008
National Assembly Delegate, PRSA, 1999 - 2000
Assembly Delegate, San Diego/Imperial Counties Chapter, 2005-2007
Assembly Delegate, San Diego/Imperial Counties Chapter, 1999 - 2001
Member, PRSA 2014 CEO Search Committee, present
Chair, PRSA Brand Marketing Task Force, present
Member, PRSA Strategic Planning Committee, 2013
Co-Chair, Task force to Study the Future of the APR (OPG Study), 2013
PRSA National Board Liaison to the Universal Accreditation Board (UAB), 2013
Member, Western
Travel Policy
Reimbursement
Director,
District,
2011 - 2012 Subgroup to PRSA Finance Committee 2012
Member,
PRSA
National
Finance
2011 - 2012
Director, Western District, 2013 - Committee,
present
PRSA National Board Liaison to the Membership & Volunteer Engagement Committee, 2012
PRSA National Board Liaison to PRSSA, 2011
PRSA National Board Liaison to the National Diversity Committee, 2011
Silver Anvil Judge, 2008, 2009 & 2010
APR Examiner, 1994 - 2000, & 2010
Member of the Global Alliance, 2008
Section B: Professional Background
1. State the professional positions you have held in the field of public relations (with dates) listing the most
recent first.
CIM Incorporated, Southern California, (Silver-Anvil & Silver Anvil Best of Show winning PR firm) owner/president, 1990 present (24 years)
PRConsultants Group, National, (Silver Anvil winning consortium of public relations firms in every major market throughout the
U.S. & Puerto Rico), co-founder & member of advisory board, 1999 to present (15 years)
PRConsultants Group, National, treasurer, 1999 - 2010
Berkman & Daniels, San Diego, CA, senior account executive, 1998 - 1990
America's Cup, San Diego, CA, (The world's most revered regatta, involving the oldest trophy in international sport. Was on the
team that worked with international news media, attorneys due to legal issues surrounding the event, and international
sponsors during the event), media relations assistant, 1998
Jae Stefan & Associates, Austin, TX, public relations intern, then promoted to associate upon graduating from The University of
Texas at Austin, 1986 - 1988
St. David's Hospital, Austin, TX, public relations intern, held position concurrently while working at Jae Stefan & Associates and
completing senior year at The University of Texas at Austin. Was offered full time position in the PR department.
Sherry Matthews Advertising & Public Relations, Austin, TX, public relations intern, 1985
2. Have there been any instances in which you advanced the state of the profession through exceptional
contributions to the field of public relations? If yes, please list example(s).
I am currently leading PRSA's brand marketing task force, studying how our profession has changed and how PRSA's image can
better reflect this evolution. Included is a complete overhaul of PRSA's website so that practitioners and organizations can more
easily find the information and resources they need.
Most recently, I worked endless hours leading the charge with Organizational Performance Group (OPG) to study the APR. Our
goal was to find out why the number of practitioners taking the exam had declined by such a high percentage, whether the
credential was still relevant, and if so, what we could do to improve its image. The project took a year and yielded a wealth of
information that is being used today as a new task force sets out to improve the APR for a new generation of public relations
practitioners.
My PRSA leadership began when I earned my APR in 1993, I became my chapter's Accreditation chair and set out to convince as
many practitioners as I could to sit for the exam. I knew that studying for the credential strengthened my knowledge, skills and
abilities, and made a difference in the way I approached my work and felt about my career. In turn, I hoped others would feel
the same way. I also believed that if more people achieved Accreditation, it would strengthen our profession's image.
I was later recruited to join the Universal Accreditation Board (UAB) in 2000, where I was heavily involved and very dedicated to
re-engineering the APR exam from a written exam that was subjectively graded to a computerized exam. During my time
serving the UAB, I chaired the marketing work group and later advanced to chair of the UAB in 2007 when with the hard work
of my very dedicated board, we created the first study guide for the new exam under record deadlines, which helped us to
increase the number of APRs by a significant percentage that year.
I am frequently asked to serve as a panelist, speaker and/or moderator at professional development and university functions.
When speaking to students, my goal is to teach them the importance of practicing public relations morally and ethically. My
work has been featured in the college textbook Public Relations Cases by Jerry A. Hendrix, for which students studying the
textbook have called me and asked me to comment on my work so that they can write their papers and fulfill their
assignments. I find it impressive that students are going the extra mile to better understand their lesson and reach out to a
senior practitioner.
In my position as Ethics Officer for my chapter, I contributed to the profession by encouraging my fellow practitioners to learn
PRSA's Code of Ethics and follow it. I would scan the local social media environment and if I saw or heard about anything that
violated our code, I would gently prod practitioners to redirect their behavior to match our Code of Ethics. Additionally, I fielded
calls and e-mails about ethics questions from chapter members. With the assistance of BEPS and my ethics committee, I
handled ethics cases that affected my chapter. Additionally, I have published several blog posts in PRSAY, which have been
republished in other blogs, about the PRSA Code of Ethics in an effort to educate our fellow practitioners across the U.S. and
encourage them to keep up to date with the Code.
For years, I've worked with PRSSA students, as PRSA National Board Liaison in 2011, and currently as PRSSA Advisor to the San
Diego State University Chapter since 2008. It's the highest honor to work with these students because of their enthusiasm and
unspoiled passion for and devotion to our profession. I had the honor of being the keynote speaker at the PRSSA National
Assembly in 2008. I spoke about leadership, the importance of setting goals and giving back. I also talked about what PRSSA
and PRSA have done for my career and personal life. The students who were at that assembly and are now graduates still tell
me how that presentation has impacted their careers and lives. Among those students are Nick Lucido and Brandi Boatner, who
have very high aspirations and are already giving back through PRSA national leadership. I am so proud of them!
Finally, every public relations practitioner who contacts me seeking a job and who is not a member of PRSA receives a reply
encouraging them to join the Society. I explain to them how important it is for professional development, volunteer and job
opportunities, and I tell them what a tremendous difference PRSA made in my professional and personal life. By the time they
finish corresponding with me, they know they can't afford to miss out!
3. List pro bono public service activities conducted during your career.
I work with select clients and friends on a pro-bono basis, depending on the project and/or issue. I take on one pro-bono
project annually, not including my service on community boards and organizations, which includes managing public relations
for those organizations.
Guest Speaker / Advisor on PR issues to volunteers, The Rock Church, 2009 - 2011
Luis Palau CityFest 2010 -- Managed public relations for this gratis event that included musical entertainment and speakers and
drew a record 50,000 participants
Coggan Family Aquatic Complex Board of Directors, 2008 - 2010, media relations, event planning
La Jolla High School water polo and swim teams, 2006 - 2009, media relations, event planning
San Diego State University Parent Advisory Board, 2008 - 2009, advised the university on PR and marketing issues
San Diego Performing Arts League Board of Directors, 2005, PR & event planning
Served on the nominating committee for the Junior League of San Diego, 1999 - 2000
Member, Public Affairs Disaster Task Force, American Red Cross, 1993 - 1998
Member, Building Industry Association Membership Retention Committee, 1997 - 1998
Member, United Cerebral Palsy Association Fundraising Committee, 1997 - 1998
Served as Chair, Public Relations, Sunkist American Cancer Society Cup Regatta, 1989
Member, City of San Diego Elections Marketing Task Force, 1989
4. List Awards (local, regional, national, career or personal) that you have received. Include date, name of
award and awarding organization.
PRSA Silver Anvil for excellence in marketing consumer products food & non-alcoholic beverages for the 7-Eleven campaign
promoting the Simpsons movie, 2008.
PRSA Silver Anvil for excellence in marketing consumer services for the launch of XM Satellite Radio, 2002
PRSA Silver Anvil Best of Show for the launch of XM Satellite Radio, 2002
PRSA Silver Anvil for new product launch for the Titanic video release on behalf of Blockbuster, 1999
PRSA Silver Anvil for community relations / business for Operation Chill on behalf of 7-Eleven, 1997
San Diego Business Journal Women Who Mean Business distinction as Public Relations professional of the year, 1999
PRSA/San Diego Chapter Edward L. Bernays Mark of Excellence Award for community relations program for financial watch on
behalf of Union Bank of California, 1999
PRSA/San Diego Chapter Edward L. Bernays Mark of Excellence Award for Public Service Announcement written and produced
for 7-Eleven - 1998
PRSA/San Diego Chapter Edward L. Bernays Mark of Excellence Award for New Product Introduction done for Ankorex on
behalf of Mastech Industries - 1997
PRSA/San Diego Chapter Edward L. Bernays Mark of Excellence Award for Community Relations/ Business for Operation Chill on
behalf of 7-Eleven - 1996
Health Care Communicators of San Diego (HCC) Finest Awards Silver winner for Pro Bono Campaign for San Diego Hospice 1994
HCC Finest Awards Silver winner for Public Relations/Marketing Campaign for Radiation Medical Group - 1993
PR Club of San Diego Mark of Excellence award for Best News Story for Radiation Medical Group - 1992
PR Club of San Diego Merit award for short-term public relations program for Radiation Medical Group - 1992
HCC Finest Awards Gold winner for Most Creative Entry for Radiation Medical Group - 1992
HCC Finest Awards Gold winner for Feature Writing for Palomar Pomerado Medical Group - 1992
HCC Finest Awards Silver winner for Media Relations Campaign for Radiation Medical Group - 1992
Society for Marketing Professional Services (SMPS) Award of Excellence for Best Publicity for SGPA Architecture and Planning 1990
SMPS Award of Excellence for Best Community Relations for SGPA Architecture and Planning - 1990
SMPS Award of Excellence for Best On-going Publicity Campaign for SGPA Architecture and Planning - 1990
PR Club of San Diego Mark of Excellence award for Best News Story for Law Offices of Thorsnes, Bartolotta, McGuire & Padilla 1988
5. List educational background (degrees and certifications). Include institutions, degrees/certifications and
dates.
University of Texas at Austin, bachelor's degree in journalism/public relations, minors in Spanish and French, 1987
L'Universite de Dijon, France 1983, studied intensive French language, translation, culture and history (requirement to obtain
my minor degree)
University of Colorado at Boulder, 1982
Accredited in Public Relations by the Universal Accreditation Board, 1993
Inducted into the College of Fellows, 2008
6. List those credentials you believe qualify you for the position you're seeking.
Treasurer -- I co-founded PRConsultants Group, a Silver Anvil winning consortium of solo and boutique public relations firms
spanning every major market in the U.S. and Puerto Rico, and served as the group's treasurer for 11 years, setting up financial
systems, working with accountants on our tax returns, creating P&Ls, balance sheets, quarterly and year-end reports, as well as
delivering our annual report in a presentation to our membership at our annual conferences.
Intimate Knowledge of PRSA -- I have been involved in PRSA's major initiatives throughout the last several years, having served
on the Strategic Planning Committee last year, which set the Society's strategic plan for the next three years. I also led the
charge on the OPG project to evaluate the APR, have been intimately involved with our diversity outreach, have served on the
finance committee for two years, which has given me a clear view of PRSA's finances and how they work to serve the Society,
and I am currently serving on the PRSA CEO Search Committee, which will determine our leader for the next several years.
Diversified and extensive PRSA Experience from the chapter to national levels for more than 20 years -- I have a proven track
record of leadership and passion for PRSA and have demonstrated it by serving the Society in a number of capacities, which has
given me an excellent viewpoint from different sides.
Leadership and Team-building -- I've worked with students, staff, national, local and individual practitioners with differing
opinions and have proven that I can enthusiastically motivate and rally them to get the job done well within deadline and on
budget. I demonstrated this during my tenure as UAB chair in 2007, as co-chair of the 2009 PRSA International Conference, and
during my work last year on the OPG project to study the APR. These positions required an enormous amount of tenacity,
diplomacy, creativity, diversity, intelligence, business contacts, fundraising skills, enthusiasm and endurance.
Diversity Outreach and Membership Development -- Everyone has a story, and by listening to our members and learning their
stories about why they joined PRSA, I've come to understand why they stay, what they want from our Society, why many
minorities feel they don't fit in, and how we can do better. I have learned what is important to our student members during my
work on the national board as liaison to PRSSA, and I have learned how important it is to continue to recruit diverse members
through my work as national board member liaison to the diversity committee. I'm involved and dedicated on a local, regional
and national level and can relate to a large segment of the PRSA membership. Although I look like an average American, I'm
not. I'm a first-generation American who learned English in school, and I bring to the table the ability to relate to a diverse
population, which PRSA strongly needs to continue to reach and grow in its membership. Within five years, PRSA's minority
membership has remained stagnant, while the U.S. minority population continues to grow. I know we can do better.
Extensive Business and Board Contribution Outside of PRSA -- I've served on numerous boards and organizations outside of
PRSA and the public relations industry. I have owned and run businesses outside of the public relations industry and feel this
makes me a multi-faceted leader who brings to the table financial skills, viewpoints, and experience that will help to further
PRSA's mission and vision for the years to come.
Please insert a brief biographical profile (400 words or less). Please provide a recent full
color photo of yourself in a separate JPEG attachment (minimum of 300 dpi @ 4x6 inches).
Your photo should be a current, professional-quality headshot, suitable for publication.
Image Field
A four-time Silver Anvil and one-time Silver Anvil Best of Show-winning public relations counselor with more than 25 years of
experience, Marisa Vallbona, APR, Fellow PRSA, has created successful marketing communications programs for clients in the
finance, real estate, consumer products, retail, business-to-business, Hispanic, technology, restaurant, marine, health care,
sports, travel and entertainment industries. She works with clients ranging from world-renowned organizations to start-ups.
In addition to managing her firm, CIM Incorporated, Marisa is a co-founding member of PRConsultants Group – a national
consortium of public relations firms in the top 50 U.S. markets and Puerto Rico. PRConsultants Group was formed to offer
national exposure for clients while providing individual local expertise in every major U.S. city. Within the first 18 months of
being formed, PRConsultants Group attained national recognition in numerous public relations trade publications and business
magazines, and was featured in the cover story of INC Magazine's September 2001 issue. Marisa and the company are also
prominently featured in the book Alpha Dogs, How Your Small Business Can Become a Leader of the Pack, by Donna Fenn.
Marisa was graduated from the University of Texas at Austin with a bachelor's degree in journalism/public relations and minors
in Spanish and French. She also attended L'Université de Dijon in France where she studied intensive French language,
translation, culture and history. She speaks Spanish and French. A first generation American, Marisa maintains citizenship with
the U.S., Spain and Costa Rica.
In addition to the Silver Anvils she has won, she also has won numerous awards for public relations excellence from the PRSA
San Diego/Imperial Counties chapter, Health Care Communicators, PR Club of San Diego, the Society for Marketing Professional
Services (SMPS) and The San Diego Business Journal. Marisa's professional and community involvement is extensive and
includes serving in leadership positions on various boards and committees. She is Accredited in Public Relations by the
Universal Accreditation Board, and was inducted into the PRSA College of Fellows in 2008. She is an active member of PRSA,
serving on the PRSA national board of directors and having served on the PRSA San Diego/Imperial Counties chapter board of
directors for numerous years in various capacities. She co-chaired the 2009 PRSA International Conference held in San Diego,
during which she was in charge of sponsorship. The conference was a tremendous financial success despite the fact that it was
held during the great recession.
Section C: Authorization
1. Please consider me a candidate for nomination for the position of (select only one):
Chair-Elect (1-year term)
Treasurer (1-year term)
Secretary (1-year term)
If the Committee does not select me to be the candidate for the position checked above, I will accept
consideration for the alternate positions for which I meet the criteria and have selected below:
Chair-Elect (1-year term)
Treasurer (1-year term)
Secretary (1-year term)
Either District or At-Large Director (2-year term)
I have received and read the duties and responsibilities of the position checked above and will agree to
expend the time and money required to serve if I am nominated by the Committee and elected by the
Leadership Assembly on October 11, 2014.
Date 6/17/14
Signature
(Signature required. If you do not have an electronic signature, please write your name on a separate piece of paper and e-mail, fax
or mail a hard copy to the Nominating Committee, PRSA, 33 Maiden Lane, 11th Floor, New York, NY 10038. Fax: 212-460-5900.
E-mail nomcomm@prsa.org. PRSA staff will insert it in your application.
Position Statement: Part I
Please provide succinct answers that address each position statement precisely. Please provide examples, data
and other details that support your statement, specifically using your leadership experience from PRSA or from
other boards. Limit your responses to 350-500 words.
The PRSA Board of Directors is made up of people representing diverse groups within PRSA and in society at
large, yet the level of diversity within the industry has a long road yet to travel. As a member of the PRSA
board how would you contribute to the board's and the Society's efforts to realize a measureable increase
in a more diverse membership.
Diverse populations gravitate where they feel comfortable, and this includes association memberships. I've spoken to many
individuals at HPRA (Hispanic Public Relations Association) meetings, and I've spoken to members of BPRS (Black Public Relations
Society) and what I've heard is that they don't feel comfortable at our meetings and events. Why? Because they don't see
themselves in our midst. We've remained stagnant with our diversity numbers in the last five years while the U.S. population of
diverse individuals continues to increase. This leads PRSA to look exclusionary. How can we fix this?
If we continue to add one diverse member at a time, it can take decades to achieve the diversity we envision. I propose that we
take one to three years to study the viability and benefits of merging HPRA and BPRS with PRSA to combine our resources and
membership. Doing this would create a large influx of a diverse population, professional development programming and
membership revenue.
As an example of how this can work to PRSA's benefit, in the 1990s, the PRSA San Diego/Imperial Counties chapter (then called
PRSA San Diego) was suffering from a reputation that it was stodgy, snobby and full of senior-level practitioners who didn't give
young PR pros the time of day. Instead, young practitioners joined the PR Club of San Diego because they were afraid to join PRSA
as they didn't see others like them there and felt they didn't belong. In order to fix this, PRSA San Diego invited PR Club to merge
with the chapter. The first year was rough because many members of both organizations resisted the change. After a couple of
years, the merger proved to be a huge success, with the chapter's image repaired, membership at an all-time high, membership
age diversity achieved, and chapter revenue healthier than ever.
I believe this same strategy can work for PRSA National for the mutual benefit of all organizations involved. We have to take a risk,
try something new, and work together in order to attract a diverse population.
Position Statement: Part II
Please provide succinct answers that address each position statement precisely. Please provide examples, data and
other details that support your statement, specifically using your leadership experience from PRSA or from other
boards. Limit your responses to 350-500 words.
People join membership organizations for a variety of reasons including networking, camaraderie,
professional development and career growth, among others. As a leader within the governance structure of
PRSA, what skills would you bring to bear in growing membership, enhancing collaboration across the
organization, assuring increasing member satisfaction and helping to mentor the next generation?
I have infectious enthusiasm and energy for PRSA and I try to find any and every opportunity to tell other public relations
practitioners how membership in PRSA can benefit them. If they already are a member, I look for opportunities to get them more
involved. If they're not a member, I help them discover the many ways PRSA can benefit them.
I'm good at speaking about member benefits, whether it's one on one or to large groups, because I believe in what PRSA delivers.
I've discovered that whenever I talk to our members at International Conference, district conferences, Leadership Rally or chapter
meetings, one thing always emerges: they also want to feel excited about PRSA and they want to belong. They want to feel that
they have a place within the Society that will make a difference to them, whether it's as a member or as a leader on the local,
regional or national level. I love talking to our members and getting them excited about what PRSA is doing to build a better
Society for them.
I recognize that we all joined PRSA for different reasons, yet we're not all motivated to stay for the same reasons. Some want to
stay behind the scenes and others want to advance through leadership. I listen attentively to find out how we can keep and grow
our members.
I am skilled at motivating others and finding their strengths. I'm also adept at putting individuals together so that they'll enjoy
working together toward a common goal. Research has shown that when members get involved, they feel that they belong, they
feel invested, and stay in associations longer.
I'm good at connecting with individuals and learning their personal career paths, why they chose to join PRSA, how it has worked
for them, and how we can better serve them. It is so rewarding when I'm able to connect them with the right individuals within
the Society to help them grow further, whether they want to advance through leadership, or merely grow their personal or
professional network. I also love speaking to chapters, classrooms and other groups to motivate them to join PRSA. It's surprising
to find that so many of our members have no idea of how to take advantage of their PRSA membership and it's energizing to help
them find the many ways they can do so.
When I speak to students, I always encourage them to join PRSA as soon as they graduate. I also encourage them to get involved
in any volunteer capacity so that they increase their network. I help them find opportunities and I introduce them to individuals
who can plug them into committees that match their skills. Additionally, I mentor them in their career growth, teaching them
about ethics, and advising them on professional development.
The applicant's personal information is only made available to the 2014 PRSA Nominating
Committee
members.
Section D:
Legal, regulatory or other matters that might reflect adversely on the profession
or the Society
Are you currently aware of any prior or pending business, legal, regulatory or other matter involving yourself
that may arise during your prospective term of office that might reflect adversely on the profession or the
Society? If yes, please provide details. Any information you provide will only be seen by the Nominating
Committee, and will not be divulged to any other member of PRSA, staff member of PRSA or the public.
No
Yes
Please provide details
Section E: Candidate contact information Contact information is for PRSA Nominating Committee use
only and will not be posted on the PRSA website. (We request your number in order to reach you for one of
two reasons: 1) if the Nominating Committee has questions following your interview during its deliberations
or 2) to notify you of the Nominating Committee's decision.)
Primary Contact Information
Address
City, State, Zip
Home Telephone
Cell Phone
E-Mail
Secondary Contact Information (if different)
Address
City, State, Zip
Home Telephone
Cell Phone
E-Mail
Candidate Attestation
I attest that, to the best of my knowledge, the information contained in this application is true and accurate
and contains no significant omissions. I understand that the details of the deliberations and votes about any
specific candidate or office in the PRSA nominating process are confidential, and I pledge to maintain that
confidentiality. I acknowledge that submitting an application with inaccuracies or omissions, revealing
confidential information known by me, or repeating confidential information provided by others, is a breach
of the PRSA Member Code of Ethics. In addition, I acknowledge that if such a breach occurs, the Nominating
Committee may refuse to consider my candidacy.
Date 6/17/14
Signature
(Signature required. If you do not have an electronic signature, please write your name on a separate piece of paper and
e-mail, fax or mail a hard copy to the Nominating Committee, PRSA, 33 Maiden Lane, 11th Floor, New York, NY 10038. Fax:
212-460-5900. E-mail nomcomm@prsa.org. PRSA staff will insert it in your application.
PLEASE SCROLL UP TO FIRST PAGE OF THIS FORM TO SUBMIT
THE COMPLETED APPLICATION FORM to nomcomm@prsa.org
DEADLINE IS TUESDAY, JUNE 17, 2014 AT 5:00 P.M.
(In the time zone in which the candidate resides)
When you submit your application electronically,
you will receive an automated e-mail confirmation within the hour.
If you do not receive this automated e-mail,
it is your responsibility to contact PRSA at nomcomm@prsa.org
or 212-460-1403 to confirm receipt of your application.
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