EmailMe Form - COMMITTEE VOLUNTEER APPLICATION

Name *

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

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Cell Phone *

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I am a current SOMA member.

What is your current status?

Web Site

Please see the committee descriptions above via the link. You will need to cut and paste the link into a browser.

I am seeking a volunteer committee position on the following committee(s). Choose up to three.

	Choice 1	Choice 2	Choice 3
Communications Committee
Education Committee
Historical Committee
International Committee
Membership Committee
Prolonged Field Care (PFC) Committee
Research Committee
Scholarship and Awards Committee
Second Half Initiative
SOMSA Program Committee

Relevant Experience - Briefly describe why you are interested in working with the above-listed committee(s).

Qualifications and Background

Previous or current volunteer activities.

Previous experience, if any, with the type of work this committee does.

Other qualifications and background.

Optional: Upload your CV or Bio

Other - any other relevant information or recommendation for consideration.

By submitting this application with its attachments, I understand that if selected, I am making a time commitment to SOMA up until the Scientific Assembly with the option to continue on. (June 2022-May 2023)

Date Time

MM / DD / YYYY