2025 SSVMS Committee & Community Interest Survey

Dear Member, Please complete this form if you are interested in:
1. Serving on a 2025 SSVMS Committee;
2. Remaining a member of a current Committee in 2025;
3. Volunteering for community service opportunities.
1.Name(Required.)
2.Specialty
3.Email(Required.)
4.SSVMS Committees (select the committee(s) you are interested in serving on):
Community Service Opportunities
5.SPIRIT PROGRAM VOLUNTEER (SACRAMENTO PHYSICIANS’ INITIATIVE TO REACH OUT INNOVATE AND TEACH)
6.COMMUNITY LIAISON: We are frequently asked to locate physicians willing to serve on commissions, committees and task forces representing the Medical Society. Check below if you would be interested in volunteering regarding the following topics.
7.MEDICAL MUSEUM VOLUNTEER
8.SPEAKERS' BUREAU: Occasionally, SSVMS is asked to locate physicians willing to speak to community organizations on medically related topics. Please list topics you specialize in presenting: