Indiana State Assembly Consent to Serve

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This consent to serve form will be discarded two years from date of receipt. If after that time you remain interested in working with ISA, you must submit a new consent to serve from and curriculum vitae.

First Name *

Last Name *

AST Member Number *

Certification Number *

I hereby consent to serve the Indiana State Assembly (ISA) in the capacity of *

Education and Professional Standards Committee

Active Duty and Retired Military Members Committee

Philanthropic Efforts Committee

By checking each box, I understand that consenting to serve AST in this position I am making a commitment to perform a variety of activities and further agree to carry out all tasks appropriate to the office including, but not limited to, the following. *

Make every effort to familiarize myself with the ISA and AST bylaws and the AST Policy Manual

Maintain an adequate filing system pertaining to all aspects of my position beginning immediately

Maintain an open line of communication with the ISA board. Communication is essential to the harmony and effectiveness of ISA business

Give thoughtful consideration to my efforts when assigned by the President to work on any assignment or special project and will perform those tasks to the best of my ability.

Fully understand that hold an ISA active position requires considerable amount of verbal and written communication skills and entails a substantial work effort.

I further agree to resign from the committee or Board of Directors in the event of seeking employment with AST, ARC/STSA, or NBSTSA.

I further agree that if at any time I am unable to serve in this capacity or if I fail in my responsibilities to the Board of Directors, House of Delegates, and membership,I will offer my resignation and notify the AST Board of Directors in sufficient time so that a replacement may be acquired to ensure that committee activities are not unduly interrupted.

Required

Street Address *

City, State, & Zip Code *

Telephone Number *

Email Address *

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