WVACRAO 2023-24 Membership Application
Any submission prior to June 1, 2023 has not been recorded. June 1, 2023 will begin our official opening for the 2023-2024 WVACRAO Membership Application. If you have made a submission for 2023-2024 prior to June 1, please complete the application again to have your application recorded. We apologize for any confusion or inconvenience. Thank you. 
Sign in to Google to save your progress. Learn more
Institution
Address
City
State
Zip code
Email address for invoicing
Affiliated individual members      
During the business meeting of the 2019 WVACRAO Conference, the membership approved annual institutional dues of $100 to include an unlimited number of individual members affiliated with the institution. All individual members must be employees of the member institution. This will remain in effect for the 2023-2024 year. 
Please list the name, title, and email address of each individual member you wish to affiliate with your institutional membership. The first person listed will be considered the primary contact for the institution. *
Questions and Other Info.
An invoice will be sent through Paypal Business. You may pay with a PCard or if paying by check,
please make checks payable to:

WVACRAO
c/o  Jennifer Board
316 Washington Avenue
Wheeling, WV 26003

Questions can be sent to:
President, Phillip Engelkeimer(2023); phillip.engelkemier@hsc.wvu.edu
Secretary, Kenna Reynolds Warren, Ohio University (2023); warrenk2@ohio.edu
Treasurer, Jennifer Board, Wheeling University (2024) jboard@wheeling.edu
Webmaster, Leah Ripley West Virginia Wesleyan; ripley_l@wvwc.edu
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of WVACRAO. Report Abuse