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VPPPA Volunteer Application

Interested in helping to shape the future of the Voluntary Protection Programs' Participants' Association? Complete VPPPA's Volunteer Application Form for the opportunity to be placed on one or more VPPPA committees, task forces, councils or forums. The knowledge and effort of members is critical to achieving VPPPA's mission of advancing health and safety excellence.
1.First Name
2.Last Name
3.Title
4.Email
5.Phone number
6.Site/Company Name
7.Site/Company Location
8.Is your site/company a current VPPPA member?
9.VPPPA membership number (if known)
10.Site/Company Type
11.OSHA/VPPPA Region (where you are physically located):
12.Previous volunteer leadership experience (include up to 5 organizations/associations for which you served on a board, committee, task force or other position):
13.Are you interested in serving as a VPPPA Committee Chair?
14.Personal/Professional Experience (check all that apply)
15.Please select the VPPPA committees/task forces/councils/forums that you would be most interested in joining (select all that apply)