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Year-round Volunteer Opportunities
SHSMD's Year-round Volunteer Opportunities
Thank you for your interest in serving as a SHSMD volunteer!
*
1.
Member contact information
(Required.)
SHSMD ID Number (can be found in recent edition of
News Scan
)
First Name
Last Name
Title
Organization
City
State
E-mail
*
2.
Select your choice for SHSMD involvement. Refer to our
volunteer opportunities
page for details.
(Required.)
Micro-Volunteering
Member Community Ambassador
*
3.
Indicate your years of experience in the following areas:
(Required.)
Under 5 years
6-10 years
Over 10 years
Years in a health care strategy discipline (i.e., planning, marketing, communications, business development, etc).
Under 5 years
6-10 years
Over 10 years
Years in strategy role OUTSIDE of health care
Under 5 years
6-10 years
Over 10 years
Years in leadership role (Director or above)
Under 5 years
6-10 years
Over 10 years
Years of SHSMD membership
Under 5 years
6-10 years
Over 10 years
Notes (optional):
*
4.
In your current role, what is your level of responsibility? (SELECT THE
BEST
ANSWER)
(Required.)
CEO/President
Vice President or Chief Officer (CMO, CSO, etc)
Principal/Partner/Consultant
Director or Senior Director
Manager
Other Professional (please specify)
*
5.
In your current role, what is your
primary
job function? (SELECT ONE)
(Required.)
Business development
Communications
Customer experience
Data analytics
Digital engagement
Leadership development
Marketing
Physician relations/strategies
Public relations
Research methodologies
Strategic planning
Innovation or Transformation
Other (please specify)
6.
In your current role, what is your
secondary
job function? (SELECT ONE)
Business development
Communications
Customer experience
Data analytics
Digital engagement
Leadership development
Marketing
Physician relations/strategies
Public relations
Research methodologies
Strategic planning
Innovation or Transformation
Other (please specify)
*
7.
What are the 3 strengths you could bring as a project volunteer? (SELECT
ONLY
3)
(Required.)
Creative thinking, innovative ideas
Connections to potential collaborators or speakers
Facilitating group discussions
Thought leadership
Developing educational programs
Planning skills
Scenario planning or other tools for interactive discussions among members
8.
Provide any additional information about your background that may be useful to your SHSMD volunteer role.
*
9.
In the PAST 5 YEARS, how many times have you... (SELECT ONE RESPONSE PER ROW)
(Required.)
0
1-5
6 or more
Volunteered to serve on a SHSMD committee or task force?
0
1-5
6 or more
Served on a SHSMD committee or task force?
0
1-5
6 or more
Been nominated to the SHSMD Advisory Board?
0
1-5
6 or more
Attended the SHSMD Connections annual conference?
0
1-5
6 or more
Presented at annual conference or other SHSMD Education?
0
1-5
6 or more
Participated in a SHSMD meet up or online discussion (MySHSMD)?
0
1-5
6 or more
Comment (optional)
*
10.
What is your highest degree earned? (SELECT ONE)
(Required.)
Bachelor's
Master's
Doctorate
Other (please specify)
11.
Which of the following recognition's have you received? (SELECT ALL THAT APPLY)
SHSMD Rising Star Recognition
Other Award in Strategy Professions (describe below)
SHSMD Leadership Excellence Award (formerly AIPE)
Other Professional Award (describe below)
None of the above
Year Received / Other Comments
*
12.
What is your organization's locale?
(Required.)
Rural
Suburban
Urban
Multiple of the above (e.g., system with various locations)
Other (please specify)
*
13.
What is your organizational affiliation? (SELECT THE BEST ANSWER)
(Required.)
Academia/University
Association
Consulting Firm
Health System - multihospital
Hospital - standalone
Other Health Care Provider
Solution provider or vendor
Other (please specify)
*
14.
Do you plan to attend the SHSMD Connections 2025 Annual Conference in Dallas, TX on October 13-15, 2025?
(Required.)
Yes
No
Uncertain
15.
In a few words, please describe your ideal volunteer experience with SHSMD:
*
16.
If asked to serve, I am confident I will meet the time commitments described in the leadership opportunities and will actively contribute to the achievement of committee or project objectives
(Required.)
Agree
Unsure
Disagree
