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Inclusivity Committee Volunteer Application
If you are interested in contributing to the Inclusivity committee then please complete this short application form.
Eligibility Criteria
Before you complete this form please check that you are eligible to join a PPG committee
Please check the eligibiity criteria
Yes
No
You are a member in good standing of PPG
There is no conflict of interest with other professional associations ( no other leadership or committee involvement)
You have the necessary time and resources to commit to a committee (see below)
You are a member of the BIPOC community
Please confirm that you are able to
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Participate in a 1 hour conference call each month
Respond to several emails each week from the committee chair and team members
Dedicate 3 hours per month to working on a PPG project
Commit to keeping PPG committee communication private and confidential until the project is approved for publication
Have full internet access
Application Information
This section asks for your key contact information
Name
*
Prefix
First
Last
Suffix
Email
*
The telephone number we can contact you on
If you have an international number please write your telephone number in below
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Write your telephone number here
Checkbox
*
I agree to the commitment requirments to participate on a working committee
Please list any special skills or experience you have that will contribute to your application to join a commitee