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FPIC
Control, Education, Prevention, Surveillance  
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VOLUNTEER APPLICATION

Thank you for your willingness to volunteer with FPIC.

We welcome our
members to participate in any committee listed.

Service on the board is possible after 
the first year of membership.

Please review the Bylaws to find out the details of position recommendations and requirements.

We appreciate your consideration to serve with the FPIC Board.

Sincerely,
FPIC Board
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FPIC Member #
Last Name
First Name
EMail Address
Telephone #
I am interested in participating in the following committee:
I am interested in running for an elected office:
New Member Renewal