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* 1. Name/Credentials

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* 2. Title

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* 3. Member Organization (no acronyms)

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* 4. Email

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* 5. Please check to confirm that your information in the ICE member profile is correct and update as needed. 

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* 6. Typically, committees meet monthly via conference call with assignments for members in between. I have noted my preferences below: (select up to three; use 1, 2, and 3 to prioritize; 1-highest interest)

**Two year commitment

  1 2 3
Annual Conference Program Committee**
Education Committee
Government Affairs Committee
Membership Outreach Committee
Research and Development Committee**
Research and Development Fundraising Committee
Publications and Editorial Committee
International Credentialing Task Force
External Stakeholders Working Group
Public Member Resource Development Task Force
Diversity, Equity, & Inclusion Task Force
Micro-Volunteer Opportunities

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* 7. What does volunteering for ICE mean to you? Please provide a brief statement.

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* 9. Commitment:

I understand that ICE does not fund any expenses for committee activities, other than conference calls arranged by the committee chair and required travel for Program committee in-person meetings. I also understand that I must be a current ICE member and a member throughout 2021 to participate on a committee.

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