WILLINGNESS TO SERVE

ILSPAN is seeking members who would like to be actively involved with the component as committee members, educational planners or a member of the board of directors.

Please complete the form below and submit it.  All information is kept confidential. 

NAME

ADDRESS

CITY

STATE

ZIP

ASPAN NUMBER

EMAIL ADDRESS

POSITION OF INTEREST

PLACE OF EMPLOYMENT

DISTRICT IDISTRICT IIDISTRICT III

MEMBERSHIP COMMITTEE

BOARD OF DIRECTORS

EDUCATION COMMITTEE

TECHNOLOGY COMMITTEE

PUBLICATION COMMITTEE

PLEASE SEND ME MORE  INFO

RESEARCH GRANT COMMITTEE