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FHSLA Membership and Committee Form
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Name
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Last
Position/Title
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Library Name
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Institution
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Email
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Phone Number
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Address
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Library Type
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If Other please specify:
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Academy of Health Information Professionals (AHIP) Member?
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AHIP Level
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Provisional
Member
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Would you like to be a FHSLA Officer?
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Vice President / President Elect
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Treasurer (2-year term)
Would you like to be on a FHSLA committee?
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Continuing Education
Honors and Awards
Membership
Nominating
Strategic Planning
If new, how did you hear about FHSLA?
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If renewing, has any information changed since last year? (e.g. contact information, AHIP status)
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Membership Type
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How are you paying?
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Institution Check (mail)
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Home
Officers & Committees
Bylaws
Committees
Meeting Minutes
Blog
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Membership Directory
Annual Meetings
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Honorary Member
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Student Scholarship
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