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 & MARKETING

BOARD OF DIRECTORS

EDUCATION

TECHNOLOGY

PUBLICATION

PLEASE SEND ME INFO