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Committee Application

Applications now being accepted through July 31, 2010. There are four members per permanent committee including a Chair. Persons selected for follow-up interviews by phone will be notified by July 31, 2010 by email. If you do not hear from us on or by July 31, 2010, you may yet be selected for a follow-up in August so please be patient. Once all positions are filled, all remaining candidates will be notified by the end of August at the latest.

Before You Begin

NOTICE: Some people have had issues submitting this form with Symantic Firewall on. If you have this, please disable it before you submit your application or your answers may be lost. Sorry for the inconvenience.

You must be at least 18 years old, uphold the highest standards and ethics, and have read the Constitution and Bylaws BEFORE you apply. The official language of the IPSF is English, thus you must be able to read, write, and speak English. You will be required to affirm these at the completition of the application in order to be considered.

This is a voluntary position and as such you will not be compensated for your time and effort. These are professional positions and you are expected to put in the time and effort necessary to accomplish the IPSF's mission and goals. Committee Chairs also serve as members of the Executive Committee.

Once you have finished this application, you must send your professional resume to info@polesports.org. Put “Resume of” and your name in subject line. Example – “Resume of John Robert Smith”.

Required fields marked with asterisk*. Read through the application before you begin.

What Committee(s) are you applying for?

(Check all that apply. If you wish to be considered for committee chair, select the associated Chair checkbox.)

Executive Committee
Secretary General
Treasurer & Finance Chair (Must be a U.S. C.P.A., preferably with non-profit experience.
This position requires additional background information, a background check, and a drug test.)
Regional Vice-President - Africa
Regional Vice-President - Asia
Regional Vice-President - Europe
Regional Vice-President - North Anerica, Central America, and the Caribbean
Regional Vice-President - Oceania
Regional Vice-President - South America
Technical Committee Chair
Safety Committee Chair
Medical Committee Chair (Must be a doctor, preferably in sports medicine with experience in doping control.)
Ethics Committee Chair
Accreditation Committee Chair
Marketing Committee Chair
Athlete Committee Chair
Finance Committee
Event Committee Chair
Elite Athlete

Would you be willing to work on a different committee than what you selected?
Yes No

Personal Details

First Name*
Middle Name*
Last Name*
Date of Birth*
Email*
Phone with Country Code*
Fax with Country Code
Address1*
Address2
City*
State/Province*
Country*
Zip/Postal Code*

Additional Information

What languages do you speak?

What qualifications directly relate to the committee(s) applied for?*

Why do you want to volunteer to work for the IPSF and how do you think your contribution can further the IPSF's goals?*

What is your background/biography?*

If you are currently associated with a pole fitness studio or related pole industry business, which one? Include location.

Years in pole fitness industry?*

Certifications – Accreditations – Academic Degrees*

Have you ever been charged or convicted of a felony or serious crime?*
No Yes - If yes, please explain below.

Professional References

(Minimum of two persons NOT related to you. Include full name, job title, email address, and your professional relationship.)

Reference #1*

Reference #2*

Reference #3

Affirmations*

I read, write, and speak English.*

I acknowledge that I am over 18 years of age.*

I acknowledge that I have read the Constitution and Bylaws, and that committee assignments are voluntary and that I will be
available more than the minimum required to fulfill my committees responsibilities by the end of the year.*

I affirm that I will practice, uphold, and be held to the highest ethics and standards.*

Any material of factual misrepresentations on this application is grounds for immediate dimissal from the IPSF.