Forms for Coordinators to Complete Regularly
STATEMENT OF UNDERSTANDING
Your use of this manual and your participation in ASAA A.W.A.K.E. Network activities carry important social and legal expectations. Like numerous other organizations, the ASAA A.W.A.K.E. Network asks its coordinators to understand their responsibilities. Please read the following statement, sign it, and return it to the ASAA office as soon as possible (and before using the A.W.A.K.E. name for your group).
As an ASAA A.W.A.K.E. group coordinator, I support the goals and mission of the ASAA and the ASAA A.W.A.K.E. Network. I understand from the guidelines that there are responsibilities associated with this role but that I can receive assistance and resources from the ASAA office.
Signed___________________________________________ Date _____________________
Name of Coordinator _________________________________________________________
Name of group (see page 1 of the guidelines under "Organizing...") ______________________________________
Address____________________________________________________________________
___________________________________________________________________________
City _______________________________________ State__________ Zip _____________
daytime phone number _________________ evening phone number____________________
fax number __________________________ e-mail address __________________________
Please keep a copy of the signed statement with this binder, and call or write the ASAA to inform the A.W.A.K.E. Network Director of any changes in the coordinator and his/her contact information (and to request additional copies of the Statement of Understanding if necessary).
This form should be completed and forwarded to the A.W.A.K.E. Network Director at the American Sleep Apnea Association: 202-293-3656 (fax) or 1424 K Street NW, Suite 302, Washington, DC 20005.
Revised 2-98