2024 Call for Volunteers
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Component Society (select one)
(Required.)
Alaska
Alberta
Arizona
British Columbia
California
Hawaii
Idaho
Nevada
Saskatchewan
Oregon
Washington
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4.
Preferred email address
(Required.)
*
5.
Cell phone
(Required.)
*
6.
Areas of interest to you (select all that apply)
(Required.)
Membership & Communications
Social Media / Web Content
Component Relations (support for local societies)
Event Planning
Continuing Education
Virtual Learning
Investments/Finance
Bulletin (quarterly publication)
Delegation
Advocacy (legislative efforts to include Component Advocacy Liaison/AAOPAC Captain [local society contacts needed])
Current Critical Issues (ortho staffing issues)
Current Critical Issues (mentorship)
Area of greatest need
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7.
What levels of governance are you interested in?
(Required.)
Component (state or province)
Constituent (PCSO)
National (AAO / CAO - Canada)
Any of the above
8.
How much time are you able to commit to a volunteer position (select all that apply)?
Short-term commitment (e.g., for an event like PCSO Annual Session or task force)
Mid-term commitment (e.g. committee member)
Long-term commitment (e.g. board position or delegation work)
9.
Do you have any contacts that would be beneficial to the PCSO (select all that apply)?
Political
Industry Partners
Academic
10.
If yes, please list any such relationships.
11.
What is your gender? (to assist in balance for volunteer distribution only)
Female
Male
Non binary
Prefer not to answer
12.
In what year were you born - 4-digit birth year? (to assist in balance for volunteer distribution only)
13.
How many years have you been in practice? (to assist in balance for volunteer distribution only)
Resident
< 5
6 to 10
11 to 20
20 to 30
30 to 40
40 to 50
> 50
Academic
Retired
Current Progress,
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