ZAA Professional Fellow Sponsorship Form

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To be completed by the sponsor, who must be a current ZAA Professional Fellow Member.

If you are unable to submit the below form, please download this form and email it to info@zaa.org.

Email *

Record my email address with my response

Sponsor's Information:

Sponsor's name: *

Date form was completed: *

YYYY

I am: *

A ZAA Professional Fellow Member in good standing.

The CEO/Director of the ZAA-accredited facility where the applicant is employed.

Required

The ZAA Membership Committee may contact me for additional information about the applicant. *

Yes

Applicant's Information:

Applicant's name: *

Job title: *

Employer: *

I have known the applicant professionally for [_] years. *

I, the Sponsor, certify to the best of my knowledge, that the Applicant: *

Meets the qualifications required by the Professional Fellow Member category.

Is of good moral character and will contribute positively to ZAA.

Required

Supporting Information: *

Sponsor's Signature: *

By typing your name in this box, you confirm that all above answers are true to the best of your knowledge.

Submit

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