TMA Volunteer Intake Form

Through its dedicated volunteers, TMA is able to better serve and support its members, generate much needed funds for research and programs, and promote a broader understanding of myositis in the public and medical communities. Thank you for becoming a TMA volunteer - we look forward to working with you!

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* 1. Are you currently a TMA member? In order to volunteer for TMA, you must be a member. It is free to join and you can do so at www.myositis.org. Thank you!

Yes

No, but I will join soon!

Not sure

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Mobile Number

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* 6. Best time to reach you?

Weekdays

Evenings

Weekends

Other (please specify)

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* 7. What is your preferred means of communication?

Phone Call

Text

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* 8. What city and state do you live in (or country if outside the US)? This is so we can tailor your volunteer experience.

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* 9. What is your connection to myositis? Please list specific diagnosis and how long you or your loved one have had the condition.

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* 10. When is your birthday (TMA likes to love on our volunteers when we can)! If you do not celebrate your birthday, please leave blank.

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* 11. What volunteer areas interest you? (TMA provides training and support)

Participating in Proclamation50: submitting a proclamation request within your state

Participating in our First Pitch Campaign by arranging for a myositis first pitch at a baseball game

Participating in a raising awareness campaign

Facilitating a regional support group in your area

Co-facilitating an affinity group

Providing one-on-one support to somone with your diagnosis

Volunteering in-person for TMA's International Annual Patient Conference

Promoting TMA events through your personal social media network

Writing articles for consideration for TMA's blog, Outlook magazine, or other outreach materials

Sharing your story to help others (answer these questions at your convenience)

Being a guest on a TMA program (webinar or podcast)

Being a legislative advocate by participating in Rare Disease Week and Rare Across America

Creating a fundraising campaign through TMA's website

Participating in Myositis Awareness Month

Volunteering in-person at TMA's Columbia, Maryland office (administrative tasks)

Special projects/work groups

Other (please specify)

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* 12. Please indicate any accomodations you may need to volunteer.

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* 13. What special interests, skills or qualifications do you have from employment, previous volunteer work, or other activities such as hobbies or sports—for example, scientific research, legislative lobbying, patient advocacy, healthcare experience, etc.—that might be helpful in supporting TMA’s mission? Please do not hesitate to list a skill even if it doesn't seem applicable - your interest may be shared with others in our community which would make for a great webinar or article!

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* 14. TMA requires a 45-minute video call introduction meeting for new volunteers. You can schedule your meeting with Rachel Bromley, Senior Manager of Patient Education, Support and Advocacy through this booking link: Book time with Rachel Bromley: New Volunteer Introduction Meeting

I have scheduled my meeting!

I am having problems scheduling my meeting - please contact me.

I will schedule my meeting. I understand I may not be contacted about volunteering until this meeting is scheduled.

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* 15. I hereby grant The Myositis Association (TMA) permission to use my image, photograph, or likeness in any TMA publications, promotional materials, social media, and websites. I understand that these images may be used for educational, awareness, or fundraising purposes, and I waive any right to compensation or approval for such use.

Yes, I do grant TMA permission

No, I do not grant TMA permission

I'd like to discuss this during my introduction meeting before I decide

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* 16. Feel free to upload your resume (optional).

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 17. Feel free to upload a headshot (optional). Does not need to be professionally taken.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 18. Feel free to upload a 50 word bio (optional). You may use this as an example: Jane Doe, RN has lived with DM for more than 24 years. A tireless advocate, she is a co-leader for the TMA Zanadu support group and manages two Facebook support groups related to myositis. Jane also teaches patient advocacy to nurses through ACME Corp. in Zanadu, MD.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

TMA Volunteer Intake Form

Question Title

* 1. Are you currently a TMA member? In order to volunteer for TMA, you must be a member. It is free to join and you can do so at www.myositis.org. Thank you!

Question Title

* 2. First Name

Question Title

* 3. Last Name

Question Title

* 4. Email Address

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* 5. Mobile Number

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* 6. Best time to reach you?

Question Title

* 7. What is your preferred means of communication?

Question Title

* 8. What city and state do you live in (or country if outside the US)? This is so we can tailor your volunteer experience.

Question Title

* 9. What is your connection to myositis? Please list specific diagnosis and how long you or your loved one have had the condition.

Question Title

* 10. When is your birthday (TMA likes to love on our volunteers when we can)! If you do not celebrate your birthday, please leave blank.

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* 11. What volunteer areas interest you? (TMA provides training and support)

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* 12. Please indicate any accomodations you may need to volunteer.

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* 14. TMA requires a 45-minute video call introduction meeting for new volunteers. You can schedule your meeting with Rachel Bromley, Senior Manager of Patient Education, Support and Advocacy through this booking link: Book time with Rachel Bromley: New Volunteer Introduction Meeting

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* 16. Feel free to upload your resume (optional).

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* 17. Feel free to upload a headshot (optional). Does not need to be professionally taken.

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* 19. Anything else you would like to share with TMA?