Member Application & Questionnaire
Last updated: 1/25/10
DPAUS Program:
MPA
PhD
Faculty
Name:
Address:
Phone:
Email:
1. Have you ever been a member of PAUSSA in previous years?
Yes
No
2. Why are you interested in joining PAUSSA?
3. What activities would you like to participate in through PAUSSA?
4. Are you interested in any leadership positions (Membership Chair, Auction Treasurer,
Fundraiser Chair, etc.)
Yes
No
If Yes, Possible Position:
5. What community service activities would you be interested in participating in with
PAUSSA?
6. What ideas/suggestions do you have to improve PAUSSA?
7. Please list convenient meeting days and times.
Membership fee is $10.00 (check or cash) annually. Please enclose fee in envelope and return with this form to
Kathy Kiser’s mailbox or email [email protected] or to PAUSSA’s mailbox or email
[email protected].