Applicant Feedback

This form is intended to provide feedback on an applicant.

If you would like to submit feedback on a current member please use the member feedback form.

By default, this form will be submitted anonymously. If you wish to indicate your name, you may do so at the bottom of the form. Keep in mind that the membership committee cannot reach out to discuss your concerns if the form is submitted anonymously.

The contents of this form will be sent to members of the membership committee.

Applicant's Name(Required)
Please indicate the member for whom you wish to provide feedback
Please provide any feedback on the applicant and/or the company that the applicant represents including any information that may help the membership committee determine if this applicant would be a productive member of PNA.
Your Name
Please enter your name if you wish to be contacted by the membership committee to discuss your feedback. If you wish to submit this form anonymously, do NOT complete this field.
Discuss Further?
Please indicate if you would like to discuss your feedback with the membership committee.
This field is for validation purposes and should be left unchanged.