2022 Committee & Community Interest Survey

Basic Information

Dear Member, Please complete and return this form by December 20, 2021 if you are interested in:

1.  Serving on a 2022 SSVMS Committee;

2.  Remaining a member of a current Committee in 2022;

3.  Volunteering for community service opportunities.
1.Name(Required.)
2.Specialty
3.E-Mail(Required.)