Vacancies Form

Please either fill this form out or open the attached form below to print.



Vacancies: Regional Representatives

There are some vacancies to be filled. 

Please indicate in the form below if you wish to be a candidate for the position in the appropriate region.  Detach and return by March 3, 2010 to Professor Maria Rosaria Vitti-Alexander: mvittia6@naz.edu.

 

Please type or print the following information:

------------------------------------------------------------------------------------------------------------

I, undersigned, wish to be a candidate for the position of Regional Representative of GKA.

 

Name________________________________________________________

Position/Title­­­__________________________________________________

Institution_____________________________________________________

Department____________________________________________________

Address_______________________________________________________

______________________________________________________________

E-Mail________________________________________________________

Phone Number:  Office__________________  Home___________________

Date_________________

Signature_____________________________________________________



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Lynn Butler,
Feb 5, 2011, 7:29 AM
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