Thank you for taking the time to complete the application to be a member of the Affiliate Committee. A SACRS Affiliate Committee Member will retain this application and notify you once a determination has been made. Three Affiliate Committee Member positions will be open annually. If you are not selected this year your name will automatically be considered for the following year until you request to remove your name from the list for consideration.

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* 1. Full Name:

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* 2. Company Name:

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* 3. Address:

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* 4. Phone Number:

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* 5. E-mail:

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* 6. What type of organization do you represent?

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* 7. Have you been an Affiliate Member in good standing for four years?

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* 8. Are you currently an Affiliate Member of SACRS?

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* 9. Have you attended at least eight SACRS Conferences?

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* 10. How many years have you been active in the pension community?

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* 11. Why would you like to be considered for the Affiliate Committee?

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* 12. Briefly outline how you have contributed to the SACRS organization:
(i.e. worked with education or other committees, helped secure speakers)

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* 13. Have you held a leadership role in other non-profit or outside organizations?

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* 14. Would you be interested in serving on an ad hoc working group led by a member of the Affiliate Committee if not selected as a delegate to the Affiliate Committee?

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* 15. Feel free to add references with contact information here for an Affiliate Committee member to contact regarding this application:

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