AFI SignUp Form

Full Name:

E-mail:

Phone:

Mailing Address:

City:

State:

Zip code:

Closest Major Metro Area:

Are You a Current ACSM Member?

If Yes, Enter ACSM Member ID:

Highest Level of Degree Earned:

Professional Specialization:

Professional Certifications (if any):

By submitting this form, I agree to have my contact information included in an ACSM American Fitness Index™ (AFI) volunteer database and shared with key leaders in my community. As part of the AFI volunteer database, I am signing up as a potential volunteer to provide additional support and resources on physical activity in my community.