Universal
Vision®
Application for membership
Personal
contact information:
Name:
Postal
Mailing address:
Street/P. O. Box:
City, State, Nation, Zip/other code:
Email
address:
Web
site (if you have one):
Phone
number (home, work, or whatever other number you prefer):
How
did you find out about us?
Please
tell us something about yourself:
(Not
required, but we would like to know. It might help us better understand where
you are coming from and help you benefit more from your membership. If you need
more space than what is provided, please just fill in the information in Word or
whatever word processor you have and expand as necessary or attach a
continuation sheet if writing longhand.)
What attracted you to Universal Vision®?
What are your interests?
What are your goals?
What are your educational level, major
subjects studied, and primary work/life experiences?
Would you be willing to volunteer some of
your time to help us with our goals? We have some of our current needs listed
on our Requests page. We also have others not listed on the website. If
anything there is of interest to you, let us know. Alternatively, if you have
something you would like to work on which you think might interest both of us
and help with our effort, let us know that as well.
Thank
you for your interest.
Universal
Vision®