Council and Committee Acceptance Form

Council Acceptance Form

You are being contacted because you had indicated that you are interested in serving on the ABHP Councils and Committees. If you are still interested, please read the council descriptions on the ABHP website and complete the information below:
This is to inform you that I am interested in the appointment as a member of the ABHP CouncilsThis is to inform you that I CANNOT accept an appointment to the ABHP Councils at this time.
Name

First NameLast Name
Home Address

Street AddressCity Name
Postal/Zip Code
State
Mobile Phone Number
Email
example@example.com
Business Name
Business Address

Street AddressCity Name
State
Postal/Zip Code
Business Phone Number
Please enter a valid phone number.
Business Email
example@example.com
I am interested in the following Council/Committee:
LIST AND DESCRIBE RELEVANT COMMITTEE EXPERIENCE
ABHP RELEVANT EXPERIENCE, PARTICIPATION. and ACTIVITIES
RELEVANT COMMUNITY SERVICE EXPERIENCE
Please check the box below:

I have read and understand the responsibilities and commitments of the councils and committees, and I agree to fulfill these obligations to the best of my ability and support the bylaws of the ABHP
ATTACH YOUR CV

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Council Acceptance Form