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ICAN Online Appointment Acceptance Form

As a member of the Association of Specialized and Cooperative Library Agencies, I accept appointment as:

ALA Membership Number:

Your Name:

Chair
Member
E-Member, Virtual Member
Intern
Representative

Committee Name (please specify division or section, e.g., Nominating Committee--ICAN):

Term Begins: Term Ends

ASCLA ICAN ILEX LSSPS SLAS

Name of Institution:

Institution Street Address:

Institution City, State, Zip:

Office Phone:
Office Fax Number:
E-Mail:

If you would prefer mail to be sent to your home address, please type address in this box:

By accepting this appointment, I agree that all working papers and final products of this group are the sole property of ASCLA and are not to be used for any personal projects unless written permission has been obtained from the appropriate governing body. Listed below are my current committee and/or officer assignments in ALA and its units (you may not hold more that three including this one; ex-officio commitments are excluded):

Name of committee, board, or other unit:

Term
Name of committee, board, or other unit:

Term

ICAN Online Appointment Acceptance Form

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