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Membership Application

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Membership Application
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Retired Administrator
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The by-laws of MoALPHA specify the following---

MEMBERSHIP

The Membership shall consist of four types: Sustaining, Associate, Contributing partner, and Retired Administrator.

The Sustaining member shall be a Local Public Health Agency that pays annual dues on a population based schedule and will be entitled to all rights and benefits of full membership, including the right to hold office, chair committees, and vote on the basis of one vote per agency.

The Associate member shall be a Local Public health Agency that pays annual dues of a fixed, reduced amount. They may attend meetings, receive information and newsletters, and provide input. Associate members may not hold office, chair committees, or vote. A request for Associate membership shall be made in writing to the Chair, shall require approval by the executive Board, and shall be limited to one year.

The Contributing Partner member shall be an educational institution, a not-for-profit organization, or a health, public health, environmental or any other business with an interest that coincides with the mission of MoALPHA. They may attend meetings, receive all member information, newsletters and email notices, and provide input. Contributing members may not hold office, chair committees or vote. A request for Contributing Partner membership shall be made in writing to the Chair, shall require approval by the Executive Board, and shall be for one calendar year. The Missouri Department of Health is not eligible for membership.

 The Retired Administrator member shall be an individual who has retired from service as administrator of a Missouri Local Public Health Agency. Annual dues for Retired Administrators will be established by the Board.

If your agency is interested in becoming a member please click here to access a printable version of the application for membership. You will need the free Adobe Acrobat reader to view the application.

Please note: The link to the MoALPHA application form above is to a pdf file. You will need the . If you already have the reader the file may open in your browser (depending on the preferences you set for your browser).

If it opens in your browser just go to File/Print to print the appication so you may complete it and mail it to us.

If you wish to download the application directly to your computer follow the following steps:

In Netscape Navigator 3.x or later:

  1. Right-click (Windows) or hold down the mouse button (Mac OS) on the link to the PDF file, then choose Save Link As from the pop-up menu.
  2. In the Save As dialog box, specify a name and location for the PDF file, and then click Save.
  3. Choose one of the following options to open the PDF file:
       - In Navigator 3.x (Windows/Mac OS) Choose File > Open File.
       - In Navigator 4.x (Windows) Choose File > Open Page > Choose File.
       - In Navigator 4.x (Mac OS) Choose File > Open > Page in Navigator.
  4. If you're using Navigator for Windows, choose either All Files or Acrobat files from the Files Of Type pop-up menu.
  5. Select the PDF file you saved in step 2 and click Open.

In Microsoft Internet Explorer 4.0 or later:

  1. Right-click (Windows) or hold down the mouse button (Mac OS) on the link to the PDF file, and then choose Save Target As from the pop-up menu.
  2. In the Save As dialog box, specify a name and location for the PDF file, and then click Save.
  3. Choose File > Open and click Browse. 
  4. Choose All Files from the Files Of Type pop-up menu.
  5. Select the PDF file you saved in step 2 and click Open.