Volunteer Interest and Availability Survey

IMSCC places great emphasis on engaging with a diverse and inclusive stakeholder ecosystem as an essential means to accomplish its mission. We believe that collaboration and collective effort are paramount in addressing the multifaceted challenges posed by sepsis. We welcome individuals and organizations who share our passion and commitment to join us as volunteers in one or more of our active initiatives. Whether you have expertise in healthcare, medical research, advocacy, or simply a strong desire to make a difference, your involvement is invaluable to us.

Thank you for your interest in volunteering. Please take a moment to complete the following form.

Should you have any questions or require additional information, please do not hesitate to contact the IMSCC Program Supervisor, Shion Chang, at schang@sepsis.org.

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* 1. Your first name

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* 2. Your last name

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* 3. Your organizational affiliation

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* 4. Your email address

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* 5. Which of the following IMSCC initiatives are you interested in?

Project 1: Patient Experiences to Support Clinical Utility of Sepsis Diagnostics

Project 2: Challenges and Roadmap to Development of Infection Severity and Sepsis-Related Devices

Project 3: Sepsis Subtyping Advancement Initiative

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* 6. Please provide a brief statement of interest about why you want to get involved in this IMSCC initiative.

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* 7. Please upload your current CV.

PDF, DOC, DOCX file types only.

Choose File

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* 8. I have reviewed and agree to abide by the SIC Code of Conduct.

Yes

No (please note that this will disqualify you from consideration for any current volunteer opportunities)

Volunteer Interest and Availability Survey

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* 1. Your first name

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* 2. Your last name

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* 3. Your organizational affiliation

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* 4. Your email address

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* 5. Which of the following IMSCC initiatives are you interested in?

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* 6. Please provide a brief statement of interest about why you want to get involved in this IMSCC initiative.

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* 7. Please upload your current CV.

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* 8. I have reviewed and agree to abide by the SIC Code of Conduct.

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* 9. Is there any additional information or you would like to provide?