New Unit Application

New Unit Application

*REQUIRED
Proposed Unit Name
Geographic Area
Date of Organizational Meeting
*REQUIRED
Number of Members
Proposed Chairperson
Chairperson Address
Telephone
E-mail Address
*REQUIRED
*REQUIRED
Signature of Proposed Chairperson

 Please send a completed copy of this document accompanied by the following items to HSA headquarters. 

1. A list of proposed officers or members of the steering committee 
2. A list of members, including names and addresses 
3. National dues for all new members 
4. A copy of the proposed unit’s by-laws (may be in draft form)
5. A synopsis of the group’s activities (or proposed activities)

The membership chairperson will present the application for approval to HSA’s board of directors, and notify the prospective unit of the board’s decision.

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