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Member Roster: New Item
   
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Last Name * 
First Name 
Full Name 
E-mail Address 
Business Phone 
Address 
Fax Number 
City 
State 
Postal Code 
Web Page 
Notes 
Country 
Mobile Phone 
Home Phone 
Job Title 
Agency 
Origin 
Origin of the data - either "Old collabscc.org" or "Active Directory" or "Hand Data Entry"
Exists in Active Directory? 
Indicates whether the email address for this user is on our mail list.
Executive Committee Member
Steering CommitteeMember of Steering Committee?  Chair?  Secretary?
Benefits Committee
Housing Committee
Job Development Committee
Outreach Committee
Prevention Committee
Shelter Provider Network
Technology Committee
Not on any Committee 
(This is for behind-the-scenes bookkeeping, for synchronizing w/ mail lists, etc.)

*  indicates a required field