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Senior Physician Survey
10.
Default Section
1.
Please provide us with your name:
2.
What is your career status?
Working Full-Time
Working Part-Time/Sometime
Retired
3.
Are you interested in volunteer opportunities organized by the NCMS, especially for Senior Physicians? (Please select all that apply)
Community Service
Legislative/Political Action Activities
Charitable activities supporting the NCMS Foundation
Social
Other (please specify)
4.
Please provide your preferred email address for contacting you about potential Senior Physician activities.
THANK YOU for your time and interest in the NC Medical Society!
