ࡱ> `b_ bjbjyy .* (dd8 $.4,bb"___      $f!-?__??-B?F?FЖFX0*"|*"*"0_AX___--G|___????*"_________d : YALSA Discussion Group Formation Petition Proposed Name of Group: Proposed Mission of Group: Proposed Conveners Name: 91ý Member #: Institution: Email: Phone: ------------------------------------------------------------------------------------------------------------ Member Signatures: Signatures may be collected virtually and must be from current YALSA members who agree to participate in the group, if it is established. 15 signatures are required. ------------------------------------------------------------------------------------------------------------ 1. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 2. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 3. Name: 91ý Member #: Institution: Email: Address: Phone:  4. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 5. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 6. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 7. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 8. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 9. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 10. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 11. Name: 91ý Member #: Institution: Email: Address: Phone:  12. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 13. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 14. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ 15. Name: 91ý Member #: Institution: Email: Address: Phone: ------------------------------------------------------------------------------------------------------------ I have read the responsibilities of a Convener and agree to uphold them if this group is established. I am submitting this petition YALSAs Board of Directors. (A list of responsibilities can be found at www.ala.org/ala/yalsa/aboutyalsab/faq.htm) Submitted by: _______________________________ Date: ___________________ Signature ___________________________________________________      PAGE  PAGE 1 *+_`z{  & 1 P : ; = > C D Q R ^ _ f g o p w x      ! "  jh{UhuOJQJ^JaJh{5OJQJ\^JaJh{OJQJ^JaJh{Q*+CD`a{ ; > D R _ g p x   " "  x { " % + 9 F   w x z { ! 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