IDSOG Call for Committee Volunteers

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1. Please enter the following information:

First Name

Last Name

Designation (MD, PhD)

Email Address

Full Name of Institution

State/Province/Region

Country

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2. Please select your current IDSOG Member Type.

Full Member

Member-in-Training

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3. Gender:

Female

Male

I prefer not to answer

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4. Please select the committee you would like to apply for.

Communications Committee

Diversity and Inclusion Committee

Membership Committee

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5. Please identify your area of expertise (e.g., maternal fetal medicine, REI, etc.):

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6. Are you currently serving on an IDSOG committee?

Yes

No