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Volunteer Opportunity Interest Response Survey

Thank you for your interest in becoming a TCA Volunteer.  There are many areas where your time and talents are needed to support chiropractic in Tennessee. 
 
In addition to committee opportunities, task-force work, and TNChiro Foundation initiatives, there are many service roles for chiropractic physicians who have an interest in representing the profession on state boards and other councils, such as workers comp and other interprofessional, healthcare related committees. 
 
Current volunteers value these roles both as opportunities to be engaged and share their strengths for the profession, as well as for what they offer in leadership training and enriching professional development experiences. While the service requirements may vary for these roles, knowing your interest will allow us to provide you with more information regarding any upcoming opportunities.
 
Please complete the below questionnaire and send your CV via email TCA@TNchiro.com or fax (615) 383-6233 to submit your interest to serve.  Thanks again!
1.Tell Us About Yourself(Required.)
2.Are you currently a TCA Member?(Required.)
I.  Volunteer Interest
3.I would like to request consideration for a volunteer position on the TCA Committee(s) selected below: (Required.)
Highly Interested
Somewhat Interested
Not Interested
Membership Support and Development
Government Relations
Insurance Relations 
Education and Research
Ethics
Nominating and Awards
Doctors for Doctors Program
TCA Board Service
TNChiro Foundation
4.Please share information about your experience and relevant expertise—in short, tell us why you are a good fit with the committee(s) you wish to join:
5.Contact me about potential service on state and/or healthcare related boards and councils, including (list any of particular interest):
6.I am able to contribute resources/connections towards TCA efforts (i.e. contacts at media outlets, expertise in marketing, etc.).  Please list those here: