Tidewater AIHA Fall 2015 Professional Development Conference (PDC)

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1 Tidewater AIHA Fall 2015 Professional Development Conference (PDC) Tidewater AIHA and our sponsors present the Fall 2015 PDC at O Connor Brewing Company on Friday, November 13 th The brewery will be open for alcohol sales during the PDC. We encourage all attendees to drink responsibly. Please RSVP early to allow for accurate head count for food. If you require a vegetarian option please let us know. A portion of the registration funds will go into a local section scholarship fund. Please see one of the officers if you would like to make a personal donation to the scholarship fund. Remember membership dues are due by January 1 st for For your convenience, you can pay when you sign up for the PDC. See the registration sheet.

2 Tidewater AIHA Fall 2015 PDC Date: Friday, November 13th Location: O Connor Brewing Co. (upstairs in the loft) Time: 11:00 a.m. to 4:00 p.m. 211 W. 24 th St, Norfolk, VA Registration: 10:30 a.m. Cost: Very affordable; see registration form 10:30 11:00 am Registration 11:00 11:10 am Greetings and Kickoff Schedule of Events 11:10 12:00 pm Waterborne Pathogens Megan Canright, CIH; Forensic Analytical Consulting Services 12:00 12:30 pm Light Lunch courtesy of PDC sponsors 12:30 1:20 pm Waterborne Pathogens (continued) 1:20 1:30 pm Beverages and Light Snacks courtesy of PDC sponsors 1:30 2:20 pm Do Not Stare at Laser with Remaining Good Eye (lessons learned from recent laser events) Kim D. Merritt, CLSO, Inc. 2:20 2:30 pm - Beverages courtesy of PDC sponsors 2:30 3:20 pm Blue Sky Mining Carter B. Ficklen, III, CIH, CSP;, Inc. 3:20 4:00 pm Beverages and Light Snacks courtesy of PDC sponsors

3 Tidewater AIHA Board President: Kim Merritt, CLSO President Elect: Carter Ficklen, III, CIH, CSP Past President: Revonna M. Bieber, MS, MPH, CIH USNH Naples Director : Ann M. Smith, CIH Navy & Marine Corps Public Health Center Director : Brian Vandevender, CIH, REHS Secretary: Earl L. Waterfield, MS, CIH NAVMEDCEN Portsmouth Treasurer: Thomas Janule, MPH, CIH, CSP We are constantly trying to keep our list up to date. If you are not getting our newsletter, or if you know of someone who is not receiving our newsletter, please contact any board member and give us a name and a corrected address.

4 Tidewater AIHA Fall 2015 Professional Development Conference (PDC) Friday, November 13 th 2015, 11:00 am to 4:00 pm at O Connor Brewing Company, Norfolk, VA. Name: Phone number: Employer: Street Address: City, State, Zip: FAX number: address: REGISTRATION FEE SCHEDULE Attendee category Received by Received after November 1st 2015 November 1st 2015 Tidewater AIHA Members $35.00 $60.00 New Members PDC Registration plus dues ($15) for 2015 $50.00 $75.00 (include membership application) Student (Associate) Members No cost PDC Registration; non-member students must submit membership application plus dues ($15) $0 $0 All Others $50.00 $75.00 *TAIHA Membership Application Amount Enclosed: PDC Registration Fee: Membership Dues: Total: Payment Method: New Member / Renewal (circle one) Company check Personal check (Number) Cash Tidewater AIHA does not accept credit cards or Company/Government purchase orders. A personal, company, or agency check, made out to AIHA Tidewater Section is the way to pay. Do not send cash through the mail. Any requests for refunds should be made to the Treasurer. Please mail this registration form, along with your payment, to: Thomas Janule, Treasurer APPLICATION AIHA Tidewater FOR Section MEMBERSHIP NASA Langley Research Center AMERICAN INDUSTRIAL HYGIENE ASSOCIATION Mailstop 305, Building 1232 TIDEWATER LOCAL SECTION Hampton, Virginia

5 APPLICATION FOR MEMBERSHIP AMERICAN INDUSTRIAL HYGIENE ASSOCIATION TIDEWATER LOCAL SECTION Membership Desired: (Check one, see next page for requirements) Personal Data: Full [ ] Associate [ ] Emeritus [ ] Name: Home Address: City, State, Zip: Current Employer: Employer Address: City, State, Zip: Phone: (Business) (Home) Please provide if available for expeditious notification of meetings and other information: FAX e - mail Preferred Mailing Address (check one): Business [ ] Home: [ ] Education: (list most recent first) SCHOOL DEGREE MAJOR DATE Experience: (list most recent first) EMPLOYER POSITION DATES Continued on next page...

6 Sponsors: Sponsors are required for Associate membership only. Obtain signatures of two (2) Associate or Full members of the Tidewater Local Section. Name: Address: Signature: Name: Address: Signature: Dues: Dues are $15.00 for all memberships and are payable annually on January 1 of each year. Dues schedule for new applicants for their initial year is as follows: January June, $15.00, July December, $7.50. Article IX of the Bylaws. Make checks payable to AIHA Tidewater Section and mail to: Thomas Janule, Treasurer AIHA Tidewater Section NASA Langley Research Center Mailstop 305, Building 1232 Hampton, VA Signature of Applicant Date Membership Requirements: Full: Open only to AIHA National members who reside in the Tidewater area, defined as a 100 mile radius of Norfolk, Virginia. Applicants residing outside of these boundaries must have special consent of the Executive Committee. Associate: Anyone having an interest in the profession of Industrial Hygiene may apply with the signatures of two sponsors. Emeritus: Member of the Local Section who has retired from practice of the Industrial Hygiene Profession. For use by the Executive Committee only: Dues Paid: Date: Treasurer s Initial: Approved: Date: Pres. Or Secy. s Initial: H revised 8/15

7 Map showing location of O Connor Brewing Company 211 W. 24th St, Norfolk, VA 23517

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