ASI Member

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Document on Subject : "ASI Member"— Transcript:

1 G ASI Member ship Application Guide
G ASI Member ship Application Guide The following is a guide for application for membership in the Governmental Affairs Society of Indiana (GASI): 1) Only a current M ember of GASI may propose an individual for M embership. 2) The current sponsoring M ember must complete and sign the sponsorship affirmation on page (1) a nd have two additional current M embers second and sign the application. Read the affirmation carefully. 3) T he applicant must fill out the M embership application in full. 4) An applicant for M embership must be a registered lobbyist in Indiana or a lobbyist for a state educational institution 5 ) An applicant for Membership must be actively engaged in the governmental affairs profession . 6) The applicant must receive , and read , and sign the Society’s Code of Ethics , which is also available online at www.GovernmentalAffairsSociety.org . 7 ) The applican t must sign the affirmation acknowledging and supporting the Code of Ethics. 8 ) The completed application and affirmation should be forwarded to the GASI Executive Director’s office at GASI, P.O. Box 44206 , Indianapolis ., IN 46244 or the GASI Membership Chairperson. 9 ) The Membership Committee will act on the application in a timely manner after receipt of the application. 10 ) An application must receive a 3/5 majority vote of the Membership C ommittee for approval. Committee votes and discussions are confidential and final. Applicatio

2 ns failing to receive a 3/5 majority vot
ns failing to receive a 3/5 majority vote, may be proposed again after one year. 11 ) The Board of Directors must review and act upon any application recommended by the Membership C ommittee. Applicants will be notified of approval or disapproval of the application. Member dues are $1 75 annually . Nonprofit rate dues are $125 annually . Both levels and will be billed on a pro rata basis during the first year upon Board approval of membership status and then in January thereafter . The nonprofit rate applies for persons employed by nonprofit groups that are organized under 501(c)(3) or 501(c)(4 ) and have annual operating budgets under $2 million. SPONSOR ING MEMBER AFFIRMATION S I affirm: The applicant to be of strong ethical character, who will abide by the Code of Ethics and the Purpose of the Governmental Affairs Society of Indiana, I re spectfully submit __________________________ for membership in the Governmental Affairs Society of Indiana (GASI). Date _______________________ Signature Print Name Title Affiliation Telephone Number Seconders I have known the named applicant and believe him or her to be a person that embodies the ethical principles and purpose of GASI, and recommend membership. First Seconder Second Seconder Signature Signature Name Name Title Tit le

3 Organization Organizat
Organization Organization Address Address Date Date Additional information or Comments (Optional) First Seconder Second Seconder GOVERNMENTAL AFFAIRS SOCIETY OF INDIANA PURPOSE 1) To encourage and assist in maintaining a high degree of professional and ethical conduct in all transactions with governmental entities. 2) To assist members to be more effective in representing their employer, organization or clients and provide professional development opportunit ies . 3) To strengthen the role of the governmental affairs representative as an advisor on governmental, political, social, and economic affairs within their organization or client base. 4) To provide a resource facility for representatives of both government and those who wish to communicate with their government. MEMBERSHIP APPLICATION GOVERNMENTAL AFFAIRS SOCIETY OF INDIANA (Please type or print legibly) Applicant’s Name ________________________________________________________ Applicant’s Title _________________________________________________________ Company/Organization ____________________________________________________ Regular Member ship ____ Non - Profit Memb ership ____ (Non - Profi t Membership requires affirmation of 5 01(c) 3 or 501 (c) 4 status and less than a $2 million annual operating budget ) B usiness Address _____________________________ ____________________________ City an

4 d Zip Code _____________________________
d Zip Code ________________________________________________________ Telephone Number ________________________ Fax Number ____________________ E - mail _________________________________________________________________ ______ Are you currently a registered lobbyist with the Indiana Lobby Registration Commission or a lobbyist for a state educational institution ? Have you, or the organization(s) you represent, ever been reprimanded or fined by the Indiana Lobby Registr ation Commission? If so, please explain. Educational Background: Recent Employment History: Associations, professional and other (optional) : GOVERNMENTAL AFFAIRS SOCIETY OF INDIANA CODE OF ETHICS I request the Board of Directors’ consideration of this application for membership in the Governmental Affairs Society of Indiana and fully support the purpose s of the Society. I have read the Society’s Code of Ethics and agree to abide by and uphold that Code. I acknowledge that failure to comply with those ethical principles, as judged by the Society’s Ethics Committee will be grounds for the non - renewal of membership to the Society. Signed _________________________________ Date _______________________ Applicant Please submit forms to the GASI Admin. Office, P.O. Box 44206, Indpls., IN 46244 MEMBERSHIP COMMITTEE USE ONLY Date ________________________________ Vote: Yes ______ No ______ ____________________________________ Ch