Committee Questionnaire








Please select at least one of the following committees to serve on:






To which of the following ICAP sponsoring organizations do you belong?






Which Designation(s) do you have?








Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, social):

Please tell us anything else you’d like to share.

Please submit a copy of your business resume or qualifications: