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  Consent to Serve 

I, ______________________________, do hereby consent to serve the Oklahoma

State Assembly of the Association of Surgical Technologists in the capacity of:

(  ) President                            (  ) Vice President                      (  ) Secretary

(  ) Treasurer                            (  ) Board of Director

(  ) Committee (please specify) ________________________________

I understand that by consenting to serve the Oklahoma State Assembly in this position I am making a commitment to perform a variety of activities and further agree to carry out all tasks appropriate to the office, including but not limited to the following:

I will:

1.      Make every effort to familiarize myself with the Oklahoma State bylaws.

2.      Maintain an adequate filing system pertaining to all aspects of my position.

3.      Maintain an open line of communication with all state representatives and assembly members.  Communication is crucial to the harmony and effectiveness of state business.

4.      Be aware of report deadlines as directed by the Oklahoma State Assembly.

a.       Be prepared to give reports as needed.

b.   Keep a copy for my files.

c.       Provide a copy of reports to the president and secretary. Provide copies to other pertinent board/commit members.

            5.  Give thoughtful consideration to my efforts when assigned by the president    

to work on any assignment or special project and will perform those tasks to the best of my ability.

I further agree that if at any time I am unable to serve in this capacity or if I fail in my responsibilities to the Oklahoma State Assembly board and membership, I will offer my resignation and notify the Oklahoma State Assembly Board in sufficient time so that a replacement may be acquired to ensure that board and/or committee activities are not unduly disrupted.  Upon resignation or termination of office, I will turn over all pertinent records to the Oklahoma State Assembly within 30 days.

Dated this _______ day of _____________________. 20_____

Signature _____________________________________

Street address ________________________________

                       ________________________________

                       ________________________________

Phone number (        ) _________________

E-Mail Address _______________________

Certification # _____________________

AST Membership # ____________________