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IPSS Committee Member Application 2014

IPSS Committee Member Application

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* 1. Please complete the following fields:

Name: *

Job Title: *

Institution: *

Address: *

Country: *

Email Address: *

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* 2. I am interested in becoming a member of the following IPSS Committee:

Advocacy, Public Affairs & International Relations Committee

Affiliations Committee

Articles and Bylaws Committee

Education Committee

Membership Committee

Research Committee

Technology and Standards Committee

Website, Communication and Marketing Committee

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* 3. Why do you want to be a Committee Member?

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* 4. What skills do you bring to a Committee Member position that will support the growth and development of IPSS? Please comment on your experience/strengths as they relate to: 1)Leadership experience, 2) Past demonstration of commitment to pediatric simulation, 3) Demonstrated ability to organize and participate productively in group processes, 4) Ability to represent and/or consider diverse needs and perspectives within pediatric simulation community.

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* 5. How do you see IPSS growing and developing to meet the needs of its membership and having the greatest impact on world-wide simulation-based pediatric healthcare education?

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* 6. If you have any other statement or experience that you would like the committee to know, please list it here