APPLICATION TO JOIN THE AVBFS

Please complete this brief form if you are interested in joining the Association of Vanderbilt Black Faculty and Staff (AVBFS).

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* 1. Please provide the information below:

Name

Department

Job Title

Email Address

Phone Number

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* 2. Please specify your affiliation with Vanderbilt University:

Staff

Faculty

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* 3. How long have you been at Vanderbilt? (rounded to the nearest year)

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* 4. Please list up to three reasons why you think it is important to have an Association of Vanderbilt Black Faculty and Staff:

Reason 1

Reason 2

Reason 3

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* 5. Are you interested in volunteering to serve on one of our standing committees?

Yes (please answer question 6)

Not at this time (you may skip question 6)

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* 6. Please indicate below if you would like to volunteer to serve on any of the AVBFS Standing Committees. Although you will indicate a primary and secondary preference, please note that you will only be placed on one committee. In the event that your primary option is full, we may place you with your secondary choice.


Primary Choice	Primary Choice menu
Secondary Choice	Secondary Choice menu

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* 7. If you were referred to the AVBFS by a current member, please choose their name from the dropdown menu. Members receive "swag points" for each referral.

You will receive an official welcome email from the current AVBFS President (Dr. Rosevelt L. Noble) containing details for upcoming General Body Meetings and other events.