7 Revised October 2020 Copyright 2009 Association of Surgical Technologists Function/purpose of Activity: ______________________________________________________________________________ ______________________________________________________________________________ Name of Committee or Activity: __________________________________________________ Position or Role: ___________________________________ Length involved: ____________ Function/purpose of Activity: ______________________________________________________________________________ ______________________________________________________________________________ STATE ASSEMBLY ACTIVITY Describe any involvement: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ VOLUNTEER COMMUNITY ACTIVITY Name of Committee or Activity: __________________________________________________ Position or Role: ___________________________________ Length involved: ____________ Function/purpose of Activity: ______________________________________________________________________________ ______________________________________________________________________________ Name of Committee or Activity: __________________________________________________ Position or Role: ___________________________________ Length involved: ____________
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