Thank you agreeing to help a new member become familiar with Virginia Section of ACS

Involvement in ACS:How long have you been a member of the Virginia section of ACS? enter text.

Have you been a member of another section of ACS in the past? enter text.

What areas have you been involved in (check all that apply):

☐ Mentoring Program ☐Young Chemists ☐Women Chemist Committee ☐Minority Affairs

☐ Chemistry Olympiad ☐Chemistry Week ☐Chemistry Education ☐Membership

☐ Media Relations ☐Project SEED ☐Student Affairs ☐Other: enter text.

What primary benefits do you get from being a member of ACS: Click here to enter text.

Demographics:What county and city do you live in? Click here to enter text.

List colleges and universities you attended and degrees obtained:Click here to enter text.

Who is your employer (if student, write “student” and school)?:Click here to enter text.

What type of chemistry is your focus (e.g. organic, physical, etc.)?Click here to enter text.

Tell us a little bit about yourself:Click here to enter text.

Your picturehere

Virginia Section of the American Chemical Society (ACS) Long Standing Member Information Sheet for “Buddy” Matching