History Section Online Appointment Acceptance Form

Your Name:

Committee Name (please specify division or section, e.g., MARS Publications Committee or RUSA Publications Committee):

Term Begins:       Term Ends:
Name of Institution:
Institution Street Address:
Institution City, State, Zip:
Office Phone:
Office Fax Number:
E-Mail:

By accepting this appointment, I agree that all working papers and final products of this group are the sole property of RUSA and are not to be used for any personal projects unless written permission has been obtained from the appropriate governing body. I also affirm that I do not have a conflict of interest as described in the RUSA Guide to Policies and Procedures. 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):

1. Name of committee, board, or other unit:
   
   

   Term
   

2. Name of committee, board, or other unit:
   
   

   Term