Powerlifting America Ethics Committee
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Validator
*
Phone Number
*
Please enter a valid phone number.
Powerlifting America Membership Number
*
Are you applying for the:
Ethics Committee Chairperson
Ethics Committee Member
Do you have a law degree? (Note: A law degree is only required for the chairperson and optional for members)
Yes
No
Letter of Interest--Please briefly describe why this role is of interest to you and why you would be a good fit
*
Browse Files
Drag and drop files here
Choose a file
pdf, doc, docx
Cancel
of
Resume
*
Browse Files
Drag and drop files here
Choose a file
pdf, doc, docx
Cancel
of
Submit
Should be Empty: