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ASFA Committee Application Form
Thank you for your interest in joining one of our committees or subcommittees. Please complete the form below to help us better understand your interests and qualifications.
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First Name
(Required.)
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Last Name
(Required.)
Credentials (ex. MD, PhD, RN)
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Your Institution/Company Name
(Required.)
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Email Address
(Required.)
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Committee(s):
Please select committees that you would like to join. Some of the committees will require you to join a subcommittee.
(Required.)
Apheresis Physician Committee
Clinical Applications Committee
Communications Committee
Education Committee
Research Committee
Allied Health Committee
Diversity, Equity, and Inclusion Committee
International Affairs Committee
Public Affairs and Advocacy
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