Laserfiche WebLink
AUTHOR: Dr. Alan Ashare <br /> AFFILIATION:Massachusetts <br /> ADDRESS: 61 Sherbrook Road <br /> CITY: Newton STATE:MA ZIP:02458 <br /> WORK PHONE:617-789-2828 HOME PHONE:617-653-8152 <br /> FAX:617-562-7247 EMAIL:alan.ashare.md @steward.org <br /> Date submitted/sent to USA Hockey:10/28/2013 <br /> Date Submitted/sent to Affiliate (Dist Org):10/28/2013 <br /> Date submitted/sent to respective Council/Committee chairperson:10/28/2013 <br /> INSTRUCTIONS <br /> • Please type or print all information. (Please use anothersheetif the current or,or000sed language <br /> does not fit in the space pro vided on the form) <br /> • When typing the"Specific Wording of Proposal", bold new wording and strike through deletions. <br /> • Receipt of submission to the USA Hockey Executive Office has to be on or before November 1, 2013. <br /> • Options for submission are: <br /> • Mail to: 1775 Bob Johnson Drive, Colorado Springs, CO 80906—Attn: Kim Folsom <br /> • Fax to: 719-538-1168—Attn: Kim Folsom <br /> • E-mail to: kimf @usahockey.org <br /> • Submit one copy to the respective Affiliate or District Organization/District Director(s) and a copy to <br /> the Chairperson of the appropriate Council, Committee or Section. The Affiliate may submit any <br /> comments to the USA Hockey National Office within one week of receipt. <br /> • Use one form per proposal. Please reproduce this form as needed. <br /> • You will receive confirmation from Kim Folsom in the Executive Director's office of receipt of the <br /> submitted agenda item/proposal(s). The deadline for receipt of submission will be strictly enforced <br /> in accordance with USA Hockey Bylaws. <br /> NAME OF COUNCIL/COMMITTEE/SECTION SUBMITTED TO: <br /> Name of Chair: Date:10/28/2013_ <br /> Review by Council/Committee/Section (comment/recommendation) <br /> SUBMITTED TO DISTRICT DIRECTOR(S): <br /> Name of Director(s): Date:10/28/2013_ <br /> Review by District Director(s) (comment/recommendation); <br /> SUBMITTED TO EXECUTIVE COMMITTEE: Date:10.28/2013 <br /> Review by Executive Committee (comment/recommendation); <br /> FOR USA HOCKEY USE ONLY <br /> Date Received (in National Office): <br /> Date Submitted to Staff-Council/Committee Liaison: <br /> Late Submission: yes no <br />