ASTCT Committee and SIG Volunteer Application

Applicant Information

We are excited to offer members the ability to submit their interest to serve on a Committee or SIG Steering Committee. To volunteer to serve on an ASTCT Committee or SIG Steering Committee, please complete the form below with your information.

All members on an ASTCT Committee or SIG Steering Committee have a 4 year term that begin and end at the conclusion of the annual Tandem Meetings that takes place each February. Every Committee and SIG Chair will review their members term limits prior to the Tandem Meetings to identify those with expiring term limits and review submissions from members interested in serving.

If you are accepted, the ASTCT Staff liaison will contact you with an acceptance letter and details regarding the Committee.

If you have any questions about volunteering on one of ASTCT's committees or the application process, please contact us at info@astct.org or 312-321-6820.

Question Title

* Contact Information

First Name

Last Name

Credentials (i.e. MD, RSN, PharmD, MSW, etc.)

Current Title/Position

Organization

Email Address

Phone Number

Question Title

* Job Family

Physician - Clinical

Physician - Laboratory

Scientist/Researcher

Administrative

Pharmacy

Advance Practice Professional

Nurse

Administrative - Non-MD

Psychosocial Support

Other (please specify)

Question Title

* How many years have you been an ASTCT Member?

0 - 5 years

6 - 10 years

10 - 15 years

20 years or more

Question Title

* Have you served as an ASTCT Board member?

Yes

Question Title

* Please indicate if you would be interested in being added to a volunteer database that may be tapped for future projects or task force work.

Yes

Question Title

* Provide a short summary, not to exceed 300 words, highlighting special professional training, skills, or hobbies that you could bring to an ASTCT committee. The bio sketch should also focus on your professional qualifications and strengths, and include a statement on why you are interested in serving on an ASTCT committee.

Question Title

* Select any committees you are interested in volunteering with below.

Applicants will be placed based on qualifications and areas of greatest need. Applicants are not guaranteed a spot on a committee.

Committee on Awards

Committee on Cellular Therapy

Committee on Diversity and Inclusion

Committee on Education

Committee on Government Relations

Committee on Practice Guidelines

Committee on Quality Outcomes

Committee on Informatics

Committee on International Affairs

Committee on Payer Relations

Committee on Trainees and Junior Faculty

None of the above

Question Title

* Select any SIG steering committees you are interested in volunteering on.

Applicants will be placed based on qualifications and areas of greatest need. Applicants are not guaranteed a spot on a steering committee.

Administrative Directors

Advanced Practice Providers

Aging

Biobehaviorial Research

Cord Blood

Hematopoietic Cell Transplant Value and Health Economics

Laboratory Science

Nursing

Palliative and Supportive Care

Pediatric

Pharmacy

Social Work

Survivorship

Transplant Infectious Diseases

Women and Underrepresented Minorities

None of the above

ASTCT Committee and SIG Volunteer Application

Applicant Information

Question Title

* Contact Information

Question Title

* Job Family

Question Title

* How many years have you been an ASTCT Member?

Question Title

* Have you served as an ASTCT Board member?

Question Title

* Please indicate if you would be interested in being added to a volunteer database that may be tapped for future projects or task force work.

Question Title

Question Title

* Select any committees you are interested in volunteering with below. Applicants will be placed based on qualifications and areas of greatest need. Applicants are not guaranteed a spot on a committee.

Question Title

* Select any SIG steering committees you are interested in volunteering on. Applicants will be placed based on qualifications and areas of greatest need. Applicants are not guaranteed a spot on a steering committee.

* Select any committees you are interested in volunteering with below.

Applicants will be placed based on qualifications and areas of greatest need. Applicants are not guaranteed a spot on a committee.

* Select any SIG steering committees you are interested in volunteering on.

Applicants will be placed based on qualifications and areas of greatest need. Applicants are not guaranteed a spot on a steering committee.