Committee Involvement Form
for Distinguished Membership Points

We recognize that just as our chapter relies on its student members to serve on committees to be sure the year runs effectively and efficiently, schools rely on their staff and faculty to have the same type of year. We want to commend you, and award you distinguished membership points, for your involvement with such projects in your own area. In order to receive credit for your outside committee involvement you must document the items found in the form below. Once your committee term is complete please fill out this form and submit it for credit. The Membership Chairperson will follow-up with you once the submission is received and processed.

KDP Member Information
1. Your Name:
        (first and last)
2. Your E-mail*:
        *must enter this field to successfully submit this form
3. Your Member #:
        (if known)

Committee Information
4. Name of committee:
5. Length of term:
6. Name of affected organization:
7. Number of meetings per year (semester, month):

8. Purpose of committee:
9. Goal for this term's focus:

10. Was the goal met? yes no
11. Why or why not?


12. Define your role during your term of service:

13. Describe the best benefit you received from being involved with the committee:

14. Describe the worst drawback from being involved with the committee:

15. Will you serve on the same committee again?yes no

Event Verification
In order to complete the submission process we must be able to verify
your involvement with the event. Please provide the following information
for us to contact the event coordinator who can confirm your answers
in questions 4-7 above.
16. Name of committee chairperson:
17. E-mail of committee chairperson:
18. Phone # of committee chairperson: