APPLICATION FOR MEMBERSHIP

APADS is a 501c3 non-profit organization.


Please return this form along with the appropriate membership fee

($35 for doctoral students/associates;
$50
for regular/active members) to:

Membership Chair

Association of Pan African Doctoral Scholars, Inc. (APADS)

Post Office Box 19728
Los Angeles, CA 90019
Association of Pan African Doctoral Scholars, Inc. (APADS)

Post Office Box 19728
Los Angeles, CA 90019


Email
: apads@verizon.net

Internet
: http://www.apads.org

Info
: (323) 737-0841
Membership
: (562) 434-9591
***Membership fees are due September 1.***

Type of Participation
Dues/Fee
(Annual)
Benefits
Regular/Active Member
$50
Members holding doctoral degrees may participate in membership meetings, hold office, participate in APADS programs and committees, elect representatives to the Executive Board, network with APADS members and community partners, and provide mentoring and support to doctoral students in the organization.
Doctoral Student/Associate
$35
Associates may participate in membership meetings, attend various APADS programs and special events, and are provided the opportunity for mentoring and support during academic doctoral study and in professional pursuits. It is the expectation of the organization that Associate members will return to the organization to mentor others upon graduation.

The Association of Pan African Doctoral Scholars (APADS) welcomes your interest in becoming a member of our organization.

APADS
is a support organization that fosters and provides mentoring support for Pan African students and scholars.  We are concerned both with ensuring the academic success of students pursuing a doctoral degree, and supporting the professional development of Pan African scholars in educational, research, and corporate settings.  We pursue this endeavor by "mentoring," networking, examining institutional policies and practices, and information exchange.  Based on educational tracks that focus on degree pursuit strategies, professional development, and scholastic advocacy, we are a multifaceted non-profit organization interested in developing our community through the successes of our members.



PRINT THIS PAGE OR PRINT A PDF VERSION AND MAIL TO THE ADDRESS ABOVE .

Please indicate your preferred address for communications by placing an asterisk alongside the relevant address, otherwise your home address will be used. Please print.

Name ________________________________

Present Address _______________________

_____________________________________

_____________________________________

City State ____________________________

Zip Code _____________________________

Telephone No _________________________

Fax _________________________________

EMail ________________________________

Website: www. ________________________

Name ________________________________

Home Address (if different) ______________

_____________________________________

_____________________________________

City State ____________________________

Zip Code _____________________________

Telephone No _________________________

Fax _________________________________

EMail ________________________________

Website: www. ________________________


The following information will be used in supporting marketing efforts of the organization and in connecting you with APADS members and associates.

Company or Institution Name ___________________________________________________

Office Address _______________________________________________________________

City, State, Zip Code __________________________________________________________

Office Phone (include area code) ________________________________________________

Office Fax (include area code) __________________________________________________

EMail Website Address (if any) __________________________________________________


Doctoral Degree (Ed.D., Ph.D., etc.) ______________________________________________

Doctoral Degree Emphasis _______________________________________________________

Institution ____________________________________________________________________

Dissertation Title ______________________________________________________________

Year Graduated or Expected Graduation ___________________________________________

Additional Higher Education Degrees
______________________________________________

Degree Awarded (B.A., B.S., M.A., M.B.A., etc.) and Concentration ____________________

Institution Attended ___________________________________________________________

Year Graduated _______________________________________________________________



Publications
Please tell us about your publications in the last ten years. You may attach an additional sheet if necessary.
YEAR TITLE OF ARTICLE OR BOOK NAME OF PUBLISHER___________________________________



Area(s) of Expertise
Please state areas in which you are available to serve as a resource for seminars, workshops or networking events:
Please indicate your interest in assisting in the following areas:

Research Methods   Dissertation Editing
Mentoring   Publicity
Website Development/Maintenance Journal Publication
 
Fundraising and Grant Writing Special Events and Programming
 
Signature __________________________________________ Date __________________
 


Post Office Box 19728 Los Angeles, CA 90019
Email: apads@verizon.net        Internet: http://www.apads.org
Info: (323) 737-0841   •    Membership: (562) 434-9591