Featured Community Leader

Thank you for your service as an Affirmation community leader! We invite you to be featured during the 2021 Affirmation International Conference. Please complete the form below to be featured!

First Name(Required)

Last Name(Required)

Email(Required)

Enter Email Confirm Email

Position(Required)

Example: President, Vice President, Coordinator, etc.

Your Affirmation Community(Required)

Example: Affirmation Hawaii Chapter, Affirmation Atlantic Region, Fathers in Affirmation, etc.

Why do you volunteer as an Affirmation community leader?(Required)

Photo of You(Required)

Please provide a high-quality photo. Ideally, the only person in the photo is you.

Accepted file types: jpg, Max. file size: 512 MB.