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This application can be downloaded and printed from this hyperlink:

WILLINGNESS TO SERVE APPLICATION

 

 

BENEFITS OF COMMITTEE SERVICE

 

Ø      Includes all WISPAN/ASPAN related benefits

Ø      Board Meetings held the evening before all seminars

Ø      Hotel allowance for meeting attendance

Ø      Free attendance to one WISPAN seminar of your choice every year

Ø      Peer interaction and up to date happenings in our field

 

Please fill out this form in its entirety.  Only active ASPAN/WISPAN members are eligible to serve on the Board of Directors.  Please consider offering your expertise to WISPAN. Members’ involvement is WISPAN’s greatest asset.

 

Name __________________________________________________

 

Address________________________________________________

Phone Home (   ) ___________________ Work (   ) _______________

E-Mail___________________________ Fax___________________

Name and address of employer______________________________

Position_________________________________________________

WISPAN/ASPAN Membership number________________________

Are you a CPAN   yes    no?

Are you a CAPA   yes    no?

 

Professional Involvement (any professional association/ organization including WISPAN/ASPAN):

 

 

 

 

 

 

 

 

 

Circle below Committee/Work-group or Interested Position

 

                                       

                 

Standard Operations      Treasurer        Education

 

Research              Historian Chair     Historical

 

Affairs        Membership        Chair

                                               

Governmental      President-elect   Education Chair

 

Secretary               Standard Operations Chair

                                                  

Research Chair          Governmental Affairs Chair

 

 

 

 

 

 

 

 

Please indicate any other talents you would be willing to share with your organization:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please return form to:

 

Mary Raspanti

4238 N Olsen Avenue
Shorewood, WI 53211

jraspanti@sbcglobal.net