2025 Committee Application Form

Committee Application Form
The work of the association is carried out by member volunteers through the committees. Service on an Association committee demands time, energy and commitment. It is a privilege and an opportunity. As a committee member, you are expected to attend all of the committee meetings throughout the period of your term of service (a minimum 2-year commitment) and participate fully in committee efforts to accomplish the goals set forth in the Terms of Reference.

See the committee descriptions document for time requirements here.

Click here for Committee Appointment Process

Deadline: December 31, 2025
Name

First NameLast Name
Job Title
School Name
I verify that the school I represent has a current USSSA membership and understand if the school I represent is no longer a member, it may impact my committee appointment.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Select Which Committees You are Interested In:
I have read the committee description that I am applying for. (Descriptions are in link at top of form.)
I am willing to sign a required Committee Member Agreement that includes details on confidentiality and details on ownership of the work product produced as a committee member.
Do you have a potential speaker network you could tap into during the speaker selection process? (National Conference Committee)
Do you have time to be on a monthly committee call (1 HOUR).
How long have you been working in the learn to swim industry?
Tell us why you wish to serve on this Committee:
Describe any experience or qualifications you possess that might contribute to success of the Committee you are interested in serving on.
Please list 3 references that may be contacted.
Are you an Owner?
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Owner if applicable

First NameLast Name
Owner's Signature if applicable
Applicants Signature
Should be Empty: