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Committee Volunteer Application
Committee commitment is two years.
*
1.
Contact Information
(Required.)
First Name
Last Name
Credentials
Email
Mobile Phone Number
LinkedIn profile
*
2.
How long have you been an AAWC member?
(Required.)
Less than one year
1 year - 5 years
5+ years
*
3.
Professional Category
(Required.)
RN
MD/DO
DPM
NP/PA
PT
Other (please specify)
4.
COMMITTEE Positions (check any you are interested in)
Membership
Communications
Sponsorship & Development
Education
Annual Meeting (sub-committee of education)
Board Development & Nominations
Young Clinicians Task Force
Diversity, Equity, Inclusion Task Force
5.
Please provide any additional information you'd like the board to consider.
