Exit Committee Volunteer Form 2020-22 Question Title * 1. Contact Information Name * Phone * Address 1 Address 2 City * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip * Email Address * Question Title * 2. Employer Question Title * 3. Job Title If faculty, please indicate rank and field. If retired, please include your most recent full-time position. If a student, please indicate degree sought and anticipated graduation date. Question Title * 4. Year of Initiation (To be eligible to serve on a committee, members must have been initiated in 2015 or earlier.) Question Title * 5. Phi Kappa Phi Chapter Question Title * 6. Top 3 Committee Choices [See committee descriptions here.]: Budget and Program Review Bylaws Forum Advisory Council Investment Nominating Dissertation Fellowship Selection Graduate Research Grant Selection Fellowship Selection Literacy Grant Selection Love of Learning Award Selection Scholar, Artist and Ray Sylvester Distinguished Service Awards Selection Study Abroad Grant Selection Question Title * 7. Please explain why you are interested in serving on the committees selected above. Be sure to include specific and relevant professional experience. Submit
