Contact Information and Declarations

Thank you for your interest in applying for service on the ASA Board of Directors.
PLEASE NOTE THE ENTIRE APPLICATION MUST BE COMPLETED IN ONE SESSION.

ASA membership is required in order to serve on the Board of Directors. If you are not yet an ASA member or your membership has lapsed, visit www.asaging.org/join to become a member or contact Jutka Mandoki at 415-974-9630.

* 1. Have you carefully reviewed the ASA Board Roles and Responsibilities document?

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