Affiliate Application Form (International Institutions)

Application for Affiliate Organization of the Council of Writing Program Administrators (International Institutions)

Date _____________________

Applicant’s Name _____________________

Applicant’s Email Address _____________________

Applicant’s Telephone Number _____________________

Affiliate Organization’s Name _____________________

Member Schools (Affiliate’s member institutions should represent various schools and types of schools)

School’s Name School’s Address _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

Organization’s Officers

Name Office _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

Estimate of Membership (At least 5 including officers. Membership should include faculty from more than one campus, and, ideally, from at least 2 campuses whose home base is in that country.)

Name Institution _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

Organizational Plan

Schedule of Meetings

Statement of Organization’s Rationale and Goals

Benefits Organization Will Provide for Region’s WPAs

Initial Budget