If you are interested in serving on a 2012-13 committee, you must submit this form by close of business on Wednesday, March 28, 2012. Applications received after the deadline will be considered for other opportunities only.
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| About You |
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| Country |
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| Gender (optional) |
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| About Your Institution |
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| Region |
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| Institution Type |
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| About Your Interests and Experience |
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Positions of Interest
(Ctrl + Click to select all that apply) |
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Topics of Interest
(Ctrl + Click to select all that apply) |
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| Can you commit to a full Term of Service? |
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| Your conference plans |
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| About Your Volunteer Work So Far |
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Have you ever:
(Ctrl + Click to select all that apply) |
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| Synopsis of your activities (1000 characters max) |
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| At the national level |
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At the regional level
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At the state level
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| Agreement |
I have read and understand: |
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Committee Selection Process |
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Term of Appointments |
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Meetings and Travel Expense Policy |
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