APAGS Division Student Representative Network
APAGS-DSRN

Division Student Involvement Report

1. Does your division offer student memberships? _ Yes _ No

If yes, what is the annual student affiliate fee? _________________________________

If yes, what are the benefits of membership for students (e.g., newsletter, electronic listserv access, discounts at events):




2. Does your division have a student representative to its board? _ Yes _ No

If yes, does this person having voting privileges? _ Yes _ No

3. Does your division offer resources designed specifically for students?
(e.g., student listserv, student website, student newsletter) _ Yes _ No

If yes, please provide examples:

4. Does your division currently offer any of the following?

Student Scholarships _ Yes _ No

Student Awards _ Yes _ No

Student Presentations at Convention _ Yes _ No

Student-oriented programming at Convention _ Yes _ No

Student Mentoring Programs _ Yes _ No

Student employment/post-doc or intern information _ Yes _ No

5. Are there additional Student Resources/opportunities that you care to identify? If Yes, please describe:

6. Additional comments or suggestions:











Division Number:_____________________________________________________

Contact Name: ______________________________________________________

Position: ___________________________________________________________

Contact E-mail: ______________________________________________________

Contact Telephone: __________________________________________________

Please return completed form to APAGS via email.

Or, by U.S. Mail to: APAGS - DSRN
750 First Street, NE
Washington, DC 20002-4242

Or, by Fax to: 202-336-5694

Program Information and Enrollment Instructions
DSRN Representative Notification