Membership

Instructions
Please complete the form below.  Leave spaces blank for listed positions which are vacant or you do not have.  If more than one individual holds a specific position, please place a comma at the end of the first name (i.e. John Doe, Jane Doe).  Please do the same for e-mail addresses (john.doe@school.edu, jane.doe@school.edu).  Click "SUBMIT" after the form is completed.

Institutional Information

Institution:

Street Address:

City:    State:    Zip Code:

Mailing/Shipping Address (If different from above):

City:     State:   Zip Code:

Division:  Division I    Division II    Division III

Primary Conference:

Senior Staff

Athletic Director Name:

Athletic Director E-mail:

Associate Athletic Director(s) Name:

Associate Athletic Director(s) E-mail:

Senior Woman Administrator Name:

Senior Woman Administrator E-mail:

Assistant Athletic Director(s) Name:

Assistant Athletic Director(s) E-mail:

Specific Areas

Academic Services/Support Name:

Academic Services/Support E-mail:

ATC/Trainer Name:

ATC/Trainer E-mail:

Business Affairs Name:

Business Affairs E-mail:

Communications/Sports Information Name:

Communications/Sports Information E-mail:

Compliance Name:

Compliance E-mail:

Facilities Name:

Facilities E-mail:

Marketing Name:

Marketing E-mail:

Varsity Sports Administrator Name:

Varsity Sports Administrator E-mail:

Thank you for helping us keep our records updated!

Submitter Name:

Submitter E-mail:

Please click submit to complete your form.