ASU Asian American Faculty/Staff Association Application for Membership

2004-2005

1. Personal Information

Name: __________________________________________
Title: ___________________________________________
Dept/College: ____________________________________
4-digit mail code: _________________________________
Office Telephone: _________________________________
email: __________________________________________

2. Membership Information:

[ ] Faculty [ ] Academic/Service Professional [ ] Administrator   

[ ] Classified Staff [ ] Adjunct Member (ie students)

Would you be interested in volunteering for committee work?  [ ] yes   [ ] no
 

3. Please indicate any issues/concerns you would like AAFSA to pursue:
 
 
 

4. Please indicate ideas for AAFSA social events:
 
 

5. Donation to Scholarship Fund: ____
 
 

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Signature                                                            Date
 

Please print out and send (along with your check payable to AAFSA) to:
Kathy Nakagawa, AAFSA President, Division of Psychology in Education, MC 0611