Volunteer Leadership Application

Volunteer Leadership Application
Thank you for your interest in serving as a volunteer for the American Traffic Safety Services Association. You must be a current member of ATSSA to qualify for a leadership position.
Name*
Company*
Title*
Title*
Address*
Email*
example@example.com
Phone Number*
Gender
Please leave blank if you prefer not to disclose
Race/Ethnicity
Please leave blank if you prefer not to disclose
ATSSA Member since*
Primary Division*
As listed with ATSSA
Other Division
Interested in
Expected contribution to the ATSS Foundation

MarketingFundraiserSpecial EventsPublic Speaking
Areas of expertise

Financial ManagementExperience serving on ATSSA committees/councils in a leadership roleStrategic PlanningOrganizational PlanningExperience serving on ATSSA chapters in a leadership roleOutreach/AdvocacyAdministration/ManagementExperience serving on councils or committees at other industry organizationsParticipation in membership drive projectsOther
1. Please briefly describe why you would like to volunteer to serve on a leadership position *
2. How have you contributed to the Association or in what activities have you participated?*
3. Please briefly outline the specific skills you bring, or contributions you hope to make, to the Board of Directors or Operating Committee.*
Additional Comments
Should be Empty: