NAR-ANON FAMILY GROUPS

CANDIDATE APPLICATION

WORLD SERVICE CONFERENCE FACILITATOR

Thank you for your interest in applying for the position of facilitator for the upcoming World Service Conference, to be held in Torrance, California, in late April or May of 2018. Please submit this form to the World Pool Committee at worldpool@nar-anon.org. If you are considered for the position of conference facilitator of the WSC 2018, the World Pool Committee will contact you for further information.

Today’s Date

Is this your first submission ☐ or update ☐ (please check by clicking on the box)

Name

Address

City	State/Province

Country	Zip Code/Postal Code

Phone Number

Email

Years in Nar-Anon

Name of Home Group

City	Region

Country

What is your primary language?

What is your secondary language?

Service History

Area/Region	Length of Service

Group Service Representative

Area Service Representative

Area/Regional Secretary

Area/Regional Treasurer

Hospital/Institutions

Literature

Outreach/Public Information

Phone/Helpline

Website

Events

Regional Chairperson

Regional Vice Chairperson

World Service	Length of Service

Regional Delegate

Regional Alternate Delegate

World Service Committees

Board of Trustees

Executive Committee

Are you familiar with Robert’s Rules of Order and Parliamentary Procedures?

(Please check by clicking on the box) Yes ☐ or No ☐

What experience have you had chairing/facilitating business meetings and did you use Robert’s Rules of Order for conducting those meetings?

Why would you like to serve as World Service Conference Facilitator?

What are your main strengths that would qualify you to be the World Service Conference Facilitator?

Do you have time to prepare for the World Service Conference by attending all committee meetings as needed?*

(Please check by clicking on the box) Yes ☐ or No ☐ *Attend meetings of the Board of Trustees or World Service Conference Committee, as needed. These meetings are held by Skype conference calls. You will need to have a computer and internet access for these meetings.

Do you have time to serve as World Service Conference Facilitator?*

(Please check by clicking on the box) Yes ☐ or No ☐ *The conference will be held over a 5 day period. Your travel days may add an additional day or two.

Professional Experience

Please include type of business, your title, and your areas of responsibility and length of employment.

Additional Information

Please share additional information that you feel will be helpful in your service as World Service Conference Facilitator.

References

Please list 3 Nar-Anon members with whom you have performed service work.

Name

Telephone Number

Description of work you did together

Name

Telephone Number

Description of work you did together

Name

Telephone Number

Description of work you did together

Signature

Please note: Although your information will be kept confidential, your references and committees you have served on may be contacted.