RISSA is affiliated with both the American Staffing Association

and National Association of Personnel Services

RISSA 2011 Membership Application

Name of Company: ______________________________________________________________________________

Address: ______________________________________________________________________________________
City: ___________________________________ State: ______________ Zip Code: _______________________
Company Telephone: ______________________ Company Website: ____________________________________

Contact/Voting Representative: _______________________________ Title: ______________________________

Direct Phone: _______________________ Cell Phone: _________________________
Email Address: __________________________________________________________________
How did you hear about RISSA? ____________________________________________________________________

Business Focus. Check all that apply.

____________ Executive ________________Contingency ______________ Retained Search
____________ Temporary ________________ Other

Affiliations: ASA __________________ NAPS ____________________ OTHER______________________

Membership Type:
Annual Dues
Individual Member $50
Company Member $100
Affiliate Member $100

Please make checks payable to: RISSA

Mail to: RISSA MEMBERSHIP 2011
ATTN: Mark Murtagh, Treasurer
806 Reservoir Avenue
Cranston, RI 02910

MEMBER AFFIDAVIT
I have read and hereby subscribe to the Standards of Ethical Practices of RISSA recognizing them in sound business
principles. I accept them as a requirement for holding membership in RISSA and acknowledge by my signature that
the violation of any section thereof subjects me to expulsion by RISSA as provided in the by-laws. Membership in
the association must be renewed annually.

SIGNATURE ____________________________________________________________ DATE ________________

WWW.RISTAFFING.ORG
 RISSA is affiliated with both the American Staffing Association
and National Association of Personnel Services

ADDITIONAL BRANCHES / CONTACTS:

Company: ___________________________________________ Contact: __________________________________

Address: ______________________________________________________________________________________
City: ___________________________________ State: ______________ Zip Code: _______________________
Company Telephone: ______________________ Email Address: ____________________________________

Company: ___________________________________________ Contact: __________________________________

Address: ______________________________________________________________________________________
City: ___________________________________ State: ______________ Zip Code: _______________________
Company Telephone: ______________________ Email Address: ____________________________________

Standards of Ethical Practices of RISSA

As a condition of membership in RISSA, each member pledges its support of, adherence to, the principles
set forth below. Through their voluntary compliance with these principles, RISSA members acknowledge that such
compliance is in the best interest of the staffing services industry, its customers, and its employees.

RISSA members agree to always:

• To comply with all laws and regulations applicable to their business, and to maintain the highest standards
of ethical conduct in the operation of that business and in their dealing with employees, customers and
competitors.
• To treat all applicants and employees with dignity and respect, and to provide equal employment
opportunities based on bon fide job qualifications, without regard to race, color, religion, national origin,
sex, age, or disability.
• RISSA provides adequate means for assuring adherence by members to its Standards of Ethics. To further
the effectiveness of these procedures, each member shall be responsible for bringing to the attention of
the RISSA Ethics Committee any violations of these standards. The Ethics Committee shall process any
such complaint in accordance with its usual procedure, and, where the facts warrant it, the Ethics
Committee shall bring the matter to the attention of the appropriate government authority for its action.

WWW.RISTAFFING.ORG