Section Council Directory/Committee Appointment Form

2002-2003

Section:______________________________________________________­___________________

Representative____________Alternate/Rep Elect____________Years of term_________________________

Name___________________________________________________________________________

Position_________________________________________________________________________

Mailing address:__________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Business phone______________________Fax______________­­__________eastern/central/pacific

Home phone_____________________________________________________________________

E-mail address___________________________________________________________________

Please identify Sections you are or have been a member of, and indicate any offices or committee appointments, give dates held.

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Please identify other MLA offices held now and in the past -- list office and dates held.

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Please identify other professional activities outside MLA:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

It is a requirement of each Section Council Representative, and strongly encouraged of Representatives Elect, to serve on one committee.  A description of committee responsibilities is included with this mailing to help in your decision.  Please mark the committee(s) you would prefer to serve on:

            ________Communications Committee

            ________Credentialing Committee Liaison

            ________Elections Committee

            ________Section/Special Interest Group Review Committee

            ________Standards Committee

            ________NPC Committee Liaison 2005

            ________Web Committee