Membership Form May VAAP include your name and address on lists that are made available to organizations or companies that may be of interest to you as an Activity Professional? YesNo First Name (required) Last Name (required) Previous Name Used Position/Title VAAP Member # Work Address Facility Name Street City State Zip Code Work Phone Work Email Home Address Street City State Zip Code Home Phone Home Email New MemberRenewal District (required) Tax ID # 54-1381140 Do you want your email sent to your home or facility? HomeFacility