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* 1. First Name

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* 2. Last Name

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* 3. E-Mail Address

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* 4. Are you a current donor to the SVS Foundation

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* 5. I have read the Foundation Board member position description and am willing to serve a full 2-year term (June 2023 - June 2025)

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* 6. The foundation has four key strategic priority areas: Research & Innovation; Community Vascular Care & Patient Education; Disease Prevention; and Diversity, Equity and Inclusion. Which area can you assist in and why?

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* 7. What is your inspiration for committing your time and talents to the SVS Foundation?

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* 8. What do you see as the greatest challenge for the Foundation in raising funds to support its mission?

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* 9. How can you help the foundation in raising much-needed funds?

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* 10. Please provide a brief description of your qualifications, including other leadership positions that you have held or are currently holding.

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* 11. Are you willing to ask friends and family to donate to the SVS Foundation?

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