CSDA Volunteer Opportunities Survey

This survey is designed for CSDA members and dental students who may be interested in volunteering to serve on our councils, committees and task forces. Rather than listing specific groups that you may not be familiar with, this survey is designed to identify your skills and interests in order to match you with the council, committee or task force that is engaged in those activities.

The information we collect will be passed along to the Board of Governors for consideration when they make their nominations and appointments to these groups. If you have any questions, please contact Jesse Dennehy at (860) 378-1800 Ext 207 or jdennehy@csda.com.

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* 1. Have you ever thought about being involved (or becoming more involved) in the CSDA?

Yes

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* 2. Which type of volunteer activities interst you? (mark all that apply)

Short term, project focused opportunities (ad hoc groups and one-time consulting roles)

Ongoing project opportunities, like standing councils and committees

Board of Governors/CSDA leadership track

Other (please specify)

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* 3. Each of the following activities are volunteer opportunities available at the CSDA. Please let us know which of the following activities interests you; and, whether you have experience with any of the activities.

CSDA Volunteer Opportunities

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* 1. Have you ever thought about being involved (or becoming more involved) in the CSDA?

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* 2. Which type of volunteer activities interst you? (mark all that apply)

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* 3. Each of the following activities are volunteer opportunities available at the CSDA. Please let us know which of the following activities interests you; and, whether you have experience with any of the activities.

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* 4. Are you interested in being contacted for possible participation on a CSDA working group (e.g., council/committee/task force)?

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* 5. Name

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* 6. Email address for CSDA Staff to contact you

	I am interested in this activity	I have experience in this activity
Connecticut State politics	Connecticut State politics I am interested in this activity	Connecticut State politics I have experience in this activity
Testify at Legislative Hearings	Testify at Legislative Hearings I am interested in this activity	Testify at Legislative Hearings I have experience in this activity
Speak with elected officials on pending legislation	Speak with elected officials on pending legislation I am interested in this activity	Speak with elected officials on pending legislation I have experience in this activity
Marketing/communications for members and the public	Marketing/communications for members and the public I am interested in this activity	Marketing/communications for members and the public I have experience in this activity
Access to Care Issues including workforce and elder care	Access to Care Issues including workforce and elder care I am interested in this activity	Access to Care Issues including workforce and elder care I have experience in this activity
Identifying Continuing Education Speakers for all dental professionals	Identifying Continuing Education Speakers for all dental professionals I am interested in this activity	Identifying Continuing Education Speakers for all dental professionals I have experience in this activity
Meeting logistics and hosting speakers	Meeting logistics and hosting speakers I am interested in this activity	Meeting logistics and hosting speakers I have experience in this activity
Identifying and interacting with potential sponsors and exhibitors	Identifying and interacting with potential sponsors and exhibitors I am interested in this activity	Identifying and interacting with potential sponsors and exhibitors I have experience in this activity
Developing themes and planning social events	Developing themes and planning social events I am interested in this activity	Developing themes and planning social events I have experience in this activity
Investments and financial planning	Investments and financial planning I am interested in this activity	Investments and financial planning I have experience in this activity
Helping patients and dentists resolve disputes	Helping patients and dentists resolve disputes I am interested in this activity	Helping patients and dentists resolve disputes I have experience in this activity
Identifying businesses to provide member discounts or other benefits	Identifying businesses to provide member discounts or other benefits I am interested in this activity	Identifying businesses to provide member discounts or other benefits I have experience in this activity
Planning for the future	Planning for the future I am interested in this activity	Planning for the future I have experience in this activity
Working collaboratively with other health care providers	Working collaboratively with other health care providers I am interested in this activity	Working collaboratively with other health care providers I have experience in this activity
Encouraging women to become actively involved in organized dentistry	Encouraging women to become actively involved in organized dentistry I am interested in this activity	Encouraging women to become actively involved in organized dentistry I have experience in this activity
Developing programs for dentists at any stage in their careers (e.g., new dentists, retiring dentists, etc.)	Developing programs for dentists at any stage in their careers (e.g., new dentists, retiring dentists, etc.) I am interested in this activity	Developing programs for dentists at any stage in their careers (e.g., new dentists, retiring dentists, etc.) I have experience in this activity