Associate Member Committee Application

Associate Membr Committee Application

Deadline: Friday, February 27, 2026

Full Name*

Title*

Employed by*

Address*

City*

State*

Zip Code*

Phone*

Email*

Open Positions: 3-Year Term

(5) Associate Member Position

Please list previous job positions.

Position

Organization

# of Years

Position

Organization

# of Years

What makes you qualified for this position/role and/or what strengths do you bring to the committee?*

Acknowledgements:*

I acknowledge I am expected to participate actively if I am selected to be a member of the Associate Member CommitteeI acknowledge I will be able to meet the time commitments of the committee including approximately 4 meetings a year (mix of in-person and virtual meetings)

Upload Resume (not required)

Select File