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.

Question Title

First Name

Question Title

Last Name

Question Title

City/Town

Question Title

State/Province

Question Title

Email Address

Question Title

What is your practice setting?

Academic practice

Private practice/teaching program

Private practice/no resident or fellow interaction

Currently in a vascular training program

Currently in a general surgery training program

Currently in medical school

Question Title

How long have you practiced?

Currently in a training program or medical school

Less than 1 year

1 to 5 years

6 to 15 years

16 to 30 years

More than 30 years

Please hit "Next" and continue to the following page to complete your application.