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* 1. Your Preferred Name

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* 2. Email Address

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* 3. Employer/Institution

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* 4. City of Residence

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* 5. What is your primary professional setting?

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* 6. What clinical areas do you practice in? Check all that apply.

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* 7. Please indicate your years of practice. If you are a student, please share what year you are in within your program.

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* 8. Are you a current TSHA member?
Please note: membership is required for participation within TSHA committees. 

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* 9. Approximately how many years have you been a TSHA member? 

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* 10. Have you attended a previous TSHA or ASHA Convention?
Note: Attendance at a previous convention is not required for a volunteer role.

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* 11. Have you participated in the TSHA Leadership Academy (TLA) in the past?

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* 12. Which of the following best describe you? Please select no more than 5. 

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* 13. What type of volunteer opportunity are you seeking? 

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* 14. Tell us more about your interest in volunteering with TSHA.

The following questions (15-21) indicate all of the available TSHA volunteer opportunities. You are not required to select one in each group. Please only select the volunteer opportunities of interest to you. We have divided the volunteer opportunities into sections, for ease of viewing. You may review TSHA's Committees at this page: https://www.txsha.org/About/TSHA-Committees.

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* 15. Please select the volunteer group(s) you are interested in serving on with the President committees.

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* 16. Please select the volunteer group(s) you are interested in serving on within the VP of Advocacy committees.

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* 17. Please select the volunteer group(s) you are interested in serving on within the VP of Audiology committees. 

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* 18. Please select the volunteer group(s) you are interested in serving on within the VP of Education & Scientific Affairs committees.

Please note: Volunteers in these roles may be selected later than other committees, and would be asked to support the Annual Convention, scheduled for May 1-3, 2025 in San Antonio, TX.

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* 19. Please select the volunteer group(s) you are interested in serving on within the VP of Member Engagement Committees.

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* 20. Please select the volunteer group(s) you are interested in serving on within the VP of Professional Services committees. 

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* 21. Please select the volunteer group(s) you are interested in serving on within the VP of Research and Development committees.

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* 22. Are you interested in a leadership (Chair/Co-Chair) position within any of the committees you've selected?

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* 23. Please list your previous volunteer and/or professional experience with TSHA or other organizations that may be relevant to this volunteer opportunity. 

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