INTEREST SURVEY

Let us know how you’d like to be involved! We welcome new ideas!

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1. Please provide your contact Information here:
(Name, Email, Phone#)

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2. I am interested to Serve in a Leadership / Management Position as an Officer. (Check all that apply.)

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3. I am interested to serve as a Board Member to chair a committee. (Check all that apply.)

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4. I am interested to share my skills and talents on a committee or team. (Check all that apply.)

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5. I am interested to lead a study or interest group. (Check all that apply.)

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