H.A.P.A. - Committee Survey

Your Name:

Fax#:

Email:

Please check your preference in order of interest. (1-5)

1. Membership ______
2. Program ______
3. Ethics ______
4. Newsletter ______
5. Nominating ______

HAPA has one Annual Meeting every May
in connection with the APA Annual Meeting.

Please indicate your interest in participating.

1. I am interested in presenting a paper on:

2. I am interested in putting together a symposium on:

3. I am interested in the following topics

4. I recommend the following speaker

who can present on

Any other concerns or ideas, please let us know.