SACRS Education Committee Volunteer Interest

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1. Please provide your first and last name.

First Name

Last Name

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2. Please provide the name of your System or Organization

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3. Please provide your contact information.

Mobile Phone

Work Email

Work Phone w/Ext

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4. Are you a member of SACRS?

Yes

No

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5. If you are a member, please check the membership category that applies to you

Trustee

System Staff

Affiliate Member

Non-Profit System Member

Non-Profit Affiliate Member