Committee Membership Application

First Name*

Middle Name

Last Name*

WEF Member ID*

Address 1*

Address 2

City*

State

Zip*

Country*

Business Phone*

Fax

Email*

The above information, including your e-mail address, will only be used within WEF. WEF does not sell or rent e-mail addresses.

I am interested in being considered for appointment to the following WEF committee – Select one.*

My primary area of expertise is*

Please provide a summary of qualifications, education, professional experience, professional registration and service with professional organizations and societies in the spaces below. A short summary (cut and paste from resume) will suffice.

Educational background*

Professional Experience*

Other Activities*

WEF Volunteer Legal Responsibility Form*

Please read WEF Volunteer Legal Responsibility Form*

*Please read WEF Volunteer Legal Responsibility Form

Committee Contact:

Theresa Mixon
WEF Committee Program
601 Wythe Street
Alexandria, VA 22314
Phone: (703) 684-2400 x 7214
Email: TMixon@wef.org

For a copy of the committee application to e-mail at a later date, click here (Word Doc).

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