Affiliate Organization Application Form (US Institutions)

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

Date _____________________

Applicant’s Name _____________________

Affiliate Organization’s Name _____________________

Applicant’s Email Address _____________________

Applicant’s Telephone Number _____________________

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

Organization’s Officers (All officers must be dues paid members of the National Council of Writing Program Administrators.)

Name Office Member NCWPA?

_____________________ _____________________ ________ _____________________ _____________________ ________ _____________________ _____________________ ________ _____________________ _____________________ ________ _____________________ _____________________ ________ _____________________ _____________________ ________

Estimate of Membership _____________________ (At least 5 including officers)

Organizational Plan

Schedule of Meetings

Statement of Organization’s Rationale and Goals

Benefits Organization Will Provide for Region’s WPAs

Initial Budget