AAFSC Membership Registration AAFSC Membership Registration Are you currently employed by FMU? * Yes No Name * Name First First Last Last Work Email * Work Extension * Home/Cell Phone * Mailing Address (optional) Mailing Address (optional) Mailing Address (optional) Mailing Address (optional) City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Department * Accounting/FinanceAdmissionsAthleticsBiologyBusinessCampus PoliceCampus TechnologyCASAChemistryCommunicationsComputer ScienceEducationEnglishFine ArtsGeographyHealth ScienceHistoryHousingHuman ResourcesLibraryMail CenterMass CommunicationsMathNursingPACPhysics/Engineering/AstronomyPolitical ScienceProvost OfficePsychologyRegistrarSociologySpeech Language PathologyStudent LifeOther Department Location/Building * Campus PoliceCarter Center for Health SciencesCauthen media CenterEducation Foundation BuildingErvin Dining HallFounders HallHyman Fine Arts CenterLeatherman Science FacilityLee Nursing BuildingMcNair Science BuildingPerforming Arts CenterRichardson Center for the ChildRogers LibrarySmith University CenterStanton Computer CenterStokes Administration BuildingOther Location/Building Dues! Membership dues are $25.00 and must be paid annually to keep your membership current. You may opt to pay your dues by check, cash, money order, or online via credit/debit card. Make check/money order payable to "FMU AAFSC" Online credit/debit payment can be made immediately after submitting this membership form Payment Method * Check made out to "FMU AAFSC" Credit/debit card Select the committee(s) that match your skills and/or interests: * Awards Committee Banquet Planning - Ad Hoc Committee Constitution and By-laws - Nominating Committee Fundraising Committee Membership Committee Program, Planning, and Professional Development Committee Public Relations and Web Committee RRP&E Committee (Recruitment, Retention, Promotion, and Equity) Scholarship Committee Strategic Planning - Ad Hoc Committee Check all that apply. (Minimum: 2) Captcha Submit If you are human, leave this field blank.