Complete the Form Below

Board Member Application

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Personal Information

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Employment & Industry Background

Yes
No

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Supplemental Information

Once a week
Once a month
As needed

Experience or skills within the industry that would benefit the United Appliance Servicers Association.

Teaching a business class
Teaching a technical class
Organizing Events
Working with manufacturers and third-party companies
Joining committees
Writing industry related newsletter or articles
Leading the board

Yes
No

If you are in a Peer Group, are other board members in your Peer Group? 

Yes
No

Are you willing and capable to travel for UASA at your own expense and to attend a Board training or retreat as well as the ASTI annual convention?

Yes
No

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Agreement and Signature

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us. 

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. 

Type your name as representation of your signature.

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United Appliance Servicers Association