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2016 Call for SVS Committee Volunteers

SVS is recruiting members for several committees. If you have interest or special expertise in any of the areas listed below, please complete the application by answering the following questions by Friday, April 1.  In order to be considered for appointment, all applicants also are required  to complete the conflict of interest disclosure at  https://www.surveymonkey.com/r/2Y7QGJ9.

Individuals with industry relationships may serve on committees, but must disclose the relationships.
First Name(Required.)
Last Name(Required.)
City/Town(Required.)
State/Province(Required.)
Email Address(Required.)
What is your practice setting?(Required.)
How long have you practiced?(Required.)
Please hit "Next" and continue to the following page to complete your application.
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