Committee Interest Form
We are excited that you are interested in contributing your time and expertise! Please complete the form below to indicate your interest in joining a committee.
Contact Information
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Committee Interest Please select the committee(s) you are interested in joining:
*
Membership Committee
Advocacy Committee
Education Committee
Events Committee
Background & Experience. Please briefly describe your background and why you are interested in serving on this committee:
Type a question
Commitment: Are you able to attend regular committee meetings?
Yes
No
Other
How many hours per month are you able to commit?
1- 2 hours
3 - 5 hours
6+ hours
Additional Information: Is there anything else you would like us to know?
Please verify that you are human
*
By signing below, I acknowledge my interest in the above listed committee(s).
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