AMERICAN ASSOCIATION OF UNIVERSITY PROFESSORS



AMERICAN ASSOCIATION OF UNIVERSITY PROFESSORS

1133 - 19th Street, NW, Suite 200

Washington, D.C. 20005-3465

(202) 737-5900

AAUP Annual Conference on the State of Higher Education

Conference Delegate to the 97th Annual Meeting

(NOT for Delegates to the Assembly of State Conferences Annual Meeting)

The person(s) listed below is/are ACTIVE MEMBER(S) of the Association and will represent their conference at the Annual Meeting for the purpose of proportional voting. In order to assist the national office with the processing of delegate forms, please complete this form and return it before May 20, 2011.

Advise delegates that they must be registered for the AAUP Annual Conference on the State of Higher Education to serve as a conference delegate to the annual meeting (June 11, 2011). .

Please Print or Type Information

Name of Conference:

I verify the persons named below are active members of the Association and will represent the Conference at the 97th Annual Meeting in Washington, DC on June 11, 2011.

1. Name: Dept.:

Institution:

AAUP Member #:

E-mail Address:

2. Name: Dept.:

Institution:

AAUP Member #:

E-mail Address:

Form must be signed by the  Conference President or  Secretary (no exceptions)

Print Name _______________________ Signature________________________ Date ______________

Return this form by mail or fax to:

Susan Smee

AAUP Annual Meeting

1133 - 19th Street, NW, Suite 200

Washington, D C 20036 ● Fax: (202) 737-5526

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