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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 jraspanti@sbcglobal.net |