2018 Membership Application

2018 Membership Application

To apply for membership, please complete all questions.
Name*

First NameLast Name
Membership type*

New memberExisting member
Company*
Title*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Number

Area CodePhone Number
Cellular Number*

Area CodePhone Number
Are you a cancer survivor?*

YesNo

New Member Questions
I was referred to the ABOA by:
Why do you want to join the ABOA?
Have you ever attended an ABOA event or participated in other ACS fundraising activities (Relay for Life, Making Strides Against Breast Cancer, Real Men Wear Pink, DetermiNation, etc.)? *
What assets would you be able to bring to the Associate Board?
What do you hope to gain from participating as an Associate Board Member?
All ABOA members are asked to serve on a team. Please indicate your area(s) of interest:

Marketing and communications (develop and implement marketing and social media strategies)Membership and recruitment (develop retention and recruitment plan, on-board new members)Social events (plan and execute social events, secure meeting locations and times, focus on all non-premiere ABOA events)Premiere event planning (plan and execute strategies related to future premiere event, focus on event logistics such as entertainment, decor, etc.)Sponsorship and underwriting (develop sponsorship goals and deadlines, support with sponsorship asks and renewals)Silent auction (develop auction goals and deadlines, facilitate auction item collection)

By signing and dating below, I acknowledge that I have read, understood, and accepted the full requirements of membership. Upon approval of my application, I understand that I will be held responsible for all membership requirements.
Signature*
Signature date*

MonthDayYear
Date
Should be Empty:

New Member Questions