Application for Membership on an ATSSA Standing Committee or Council

Thank you for your interest in serving on an American Traffic Safety Services Association (ATSSA) Standing Committee or Council. As an ATSSA member in good standing, you are eligible to serve on the committee/council of your choice.

Please submit this committee application to ATSSA for consideration. Once the application is received, a determination will be made that there is a vacancy on the committee; and the appropriate balance of membership categories on the committee will be maintained. You may be asked to visit a committee meeting and meet with the Chair about a committee appointment. Upon completion of the meeting, you will be notified regarding the status of your application.

Please keep in mind that new committee members must be appointed to the committee 30 days prior to a scheduled meeting to be eligible to vote at that meeting.

The document linked below provides additional information about the committee application process and the responsibilities of committee members and friends.

Applicant Name*

Title*

Company/Agency*

Mailing Address*

City*

State/Province*

Zip*

Phone Number*

Email*

example@example.com

Please indicate below your committee preferences.

You may serve on one of these technical committees as a Member or Friend:

You may serve on one of these support committees as a Member or Friend:

Government Relations - MemberGovernment Relations - FriendMember Engagement - MemberMember Engagement - Friend

You may serve on one of these councils as a Member or Friend:

High Friction Surface Treatment - MemberHigh Friction Surface Treatment - FriendInnovation - MemberInnovation - FriendRoadway Worker Protection - MemberRoadway Worker Protection - FriendWomen in Roadway Safety Council Friend

1. Why do you want to serve on this committee?*

2. How will you contribute to this committee?*

If you have questions about this application contact Volunteer Services by email at volunteerservices@atssa.com or by phone at 540-376-3879

Applicant Signature*

Clear

Date*

Date