2014 Board Membership Application Form

At this time the National Child Passenger Safety Board is seeking applicants for the following positions:

Selected applicants will begin their Board service with the first Board meeting of 2015 (January 2015, tentatively scheduled for Charlotte, NC).

It is strongly recommended that applicants review the purpose, history and structure of the Board prior to completing this application.

If you have questions or need additional information, please contact Board Secretariat, Amy Artuso Heinzen, at Secretariat@cpsboard.org.

Applicants must complete all fields, and there is no word limit. Additionally, all applicants must upload their resume and a signed Supervisor Approval Form.

2014 References & Supervisor Approval Form
















(Note: Certification is not required for Board membership, but non-certification may limit participation on certain committees, i.e. curriculum committee.)

Positions and Requirements

Please check each position you would like to be considered for. One application per candidate will be used during the selection process for all open positions described below:











Applications will be reviewed and candidates will be notified by October 31, 2014.