ACCE Volunteer form

Dear ACCE member: if you are interested in volunteering, please complete this form.

Thank you in advance for your interest in volunteering with the American College of Clinical Engineering! Volunteering is a privilege and serious commitment.

Please complete the following questions and check all committee activities you are interested in volunteering. Once we have received your inquiry survey, you will be considered by the respective committees, and we will contact you for follow up.

We appreciate you taking time to consider whether volunteering with ACCE activities is the right choice for you.

Sincerely,

Suly Chi

ACCE Secretariat

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* 1. Please enter your contact information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please check all the activities you are interested in below:

Advocacy Committee

Membership Committee

Education Committee

Advertising Committee

ACCE Newsletter/reporter

Certification Promo/Body of Knowledge Committee

ACCE Booth at conferences

Symposium task force

New tasks as needed

Marketing/Fund Raising

Social Media

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* 3. How many hours per week would you have to dedicate to your ACCE volunteering task?

1 hour

2 hours

3 hours

Other (please specify)

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* 4. In a short paragraph, please tell us how would you contribute to the selected activity.

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* 5. Attach any additional support information as needed.

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