Thank you for your interest in becoming a State Captain for RESOLVE/ASRM Federal Advocacy Day. Prior to filling out the application, please view the Volunteer Committee Informational Webinar. If you have any additional questions, contact advocacyday@resolve.org.

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* 1. What is your name? 

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* 2. What is your address?

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* 4. Yes, I would like to continue receiving email communication from RESOLVE: The National Infertility Association.

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* 5. What is your Mobile phone number?

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* 6. Why do you want to volunteer as a State Captain? 

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* 7. Have you previously served as a State Captain for Federal Advocacy Day?

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* 8. If answered yes to State Captain question- How many years?

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* 9. Can you commit to the State Captain volunteer timeline from November 2023 to May 2024? 

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* 10. Can you commit to attending State Captain training sessions and kickoff webinars? 

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* 11. Is there anything else you would like us to know?

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