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* 1. Please include your contact information

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* 2. Please indicate your academic level

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* 3. Select which Committee(s) you would be interested in being appointed to.

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* 4. Please indicate why you are interested in joining the committee(s) and any particular skill sets or experience you have that would contribute to the committee.

Thank you for submitting your expression of interest, we will be in touch after the close of the application period of April 1st, 2024. Only IPTA members in good standing will be considered. Please go to https://tts.org/ipta-members-area/ipta-subscriptions to check your membership status.

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* 5. Please indicate your specialism (Nephrology, Hepatology, Cardiology, ID, etc) and whether you are a Physician or Surgeon. 
For Allied Health and Nursing Professionals, please indicate your specialism and level.

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