Application for NATCO Thoracic Committee

All information is required

The Thoracic Committee will be responsible for providing content expertise to the President, the Board of Directors, other Committees and the NATCO membership. The Committee will be responsible for providing content expertise to Workgroups or Special Projects as requested by the President and/or Board of Directors to meet the Strategic Initiatives of NATCO. The committee will assist in identifying the educational needs of the NATCO membership, establishing and developing the standards of practice of the heart/lung transplant professional, advocating on behalf of the NATCO membership, and developing responses on behalf of the President to legislative, regulatory and policy development in the organ donation and transplantation community.

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1. Contact Information (Required.)

Name *

Company *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address *

Phone Number *

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2. Are you a NATCO member in good standing? (Required.)

Yes

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3. Are you certified? (Required.)

CCTC

CPTC

Other (please specify)

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4. How long have you been in the field? (Required.)

1 to <3 years

3 to <5 years

>5 years

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5. In what UNOS Region do you belong? (Required.)

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6. Tell us why you would like to be on this committee.

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7. Upload a resume or CV (Required.)

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8. Are you interested in becoming the Chair or Vice-chair of this committee? This position requires you to organize the committee to carry out its mission, ensure active participation of committee members, and report to the NATCO Board of Directors on a monthly basis. (Required.)

Yes

Thank you for submitting your application. A member of the NATCO Board of Directors will be in touch with you to discuss your application.

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. Are you a NATCO member in good standing? (Required.)

Question Title

* 3. Are you certified? (Required.)

Question Title

* 4. How long have you been in the field? (Required.)

Question Title

* 5. In what UNOS Region do you belong? (Required.)

Question Title

* 6. Tell us why you would like to be on this committee.

Question Title

* 7. Upload a resume or CV (Required.)

Question Title

* 8. Are you interested in becoming the Chair or Vice-chair of this committee? This position requires you to organize the committee to carry out its mission, ensure active participation of committee members, and report to the NATCO Board of Directors on a monthly basis. (Required.)

1. Contact Information (Required.)

2. Are you a NATCO member in good standing? (Required.)

3. Are you certified? (Required.)

4. How long have you been in the field? (Required.)

5. In what UNOS Region do you belong? (Required.)

6. Tell us why you would like to be on this committee.

7. Upload a resume or CV (Required.)

8. Are you interested in becoming the Chair or Vice-chair of this committee? This position requires you to organize the committee to carry out its mission, ensure active participation of committee members, and report to the NATCO Board of Directors on a monthly basis. (Required.)