00Louise's Sand box - African Violet Society of America

Name *

First

Last

Date *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email Address *

Select position being recommended: *

Officer
Director

Recommended By (If applicable).

How long have you been a member?

Select applicable Membership Status: *

# of AVSA conventions attended? *

Last convention year attended.

Would plan to attend future conventions? *

How many years have you grown African violets? *

How many violets do you grow? *

List AVSA Committee(s) on which you have served.

List AVSA activities you have participated in (i.e., helped at raffle tables, luncheon auction, registration, etc.).

List the name(s) of your local African violet club(s) and any local office or committee chairmanship you have held.

List the name(s) of your state and regional African violet organization(s) and any office or committee chairmanship you have held.

List any other plant societies to which you belong and give information as to offices or committee chairmanships you have held.

References: List three names with address, phone number and e-mail address who can comment on your qualifications to serve as an AVSA Officer or Director.

Bio-sketch. Please give a brief outline of your special interests and experiences. Including college, business, or professional training and skill, artistic talent, and other hobbies and organizational activities. In other words, help us to know you!