Want to join the team?
We want safety crazy people to join the team.
Committee Member Application Form Mine Safety and Health Conference
3. Membership in other Professional Organizations / Conference (Please list Organization Name and Contact Information):
4. Brief Autobiography (Also, please Attach Resume):
5. What skills / experiences can you contribute to the Mine Safety and Health Conference Planning Committee?
6. Please rank in order 1-3 your top choices for subcommittee selection. (This is only a preference and cannot guarantee assignment will be to choice listed below)
7. Do you currently know / affiliated with a current Mine Safety and Health Conference Committee Member? If so, please provide name here:
Thank you for your application!
If you prefer to download the form, use the link provided. Send completed forms to Sara Nichols.
Any questions, also send to Sara Nichols.