About the Program

The primary responsibilities of a national SAA State Ambassador Mentor are identifying opportunities for student involvement in the state, including, but not limited to:
  • Advocacy and grassroots initiatives
  • Representation on state audiology boards and organizations
  • Communicate monthly with the mentee, via email or phone call, providing support and advice on becoming a local and state leader in the profession.
  • Assist with communication to the state organization or academy.
  • Provide a mentor update for the newsletters sent to the states (state update newsletters go out monthly).

To learn more about this opportunity, please visit the national SAA website.

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* 1. Please provide information we can use to contact you if you are selected to be a national SAA State Ambassador Mentor.

Your Academy/Member ID is the number you were given when you first joined the American Academy of Audiology. If you do not recall your member ID, email membership@audiology.org to request it.

All professional volunteers must be current members of the Academy to serve as a national SAA State Ambassador Mentor.

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* 2. Academy/Member ID

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* 3. City/State

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* 4. Professional Setting

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* 5. Years of Experience

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* 6. What interested you in applying for this opportunity?

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* 7. Is this your first time volunteering? If not, how many years have you volunteered with the Academy?

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* 8. Please list your previous volunteer experience including any leadership positions or responsibilities.

Using the hyperlinks below, please upload a signed Conflict of Interest form and Code of Conduct form. These forms are required to volunteer with the national SAA/Academy. Reach out to saa@audiology.org with any questions or issues uploading the forms.

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* 9. Please upload a copy of your Conflict of Interest form. The form can be filled out and signed electronically, or you may print and scan.

PDF, DOC, DOCX file types only.
Choose File

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* 10. Please upload a copy of your Code of Conduct form. The form can be filled out and signed electronically, or you may print and scan.

PDF, DOC, DOCX file types only.
Choose File

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