Committee Interest Form - Dysphagia Research Society

DRS Volunteer Interest Form

Thank you for your interest in serving as a Dysphagia Research Society volunteer!

Volunteers are integral to the success of the Society and the advancement of our field.

The DRS leaders appoint volunteers to committees based on the Society's current needs and availability. Please note that completion of the Volunteer Interest Form does not guarantee appointment.

For DRS committee listings and descriptions, please click here.

First Name *
Last Name *
Email *
Please select the kinds of activities that you would be willing to participate in as a volunteer: *	Conference Planning Review/judging of abstracts or awards applications Fundraising activities Web and social media communications DEI Task Force Trainee activities Other (check and list below)
Describe other activities willing to participate in: *
Are you currently a doctoral student, post-doctoral fellow, or medical resident/fellow? *List if you are currently a doctoral student, post-doctoral fellow, or medical doctor completing a residency or fellowship?
Please list your Profession: *	Speech-Language Pathologist Otolaryngologist Gastroenterologist Other (check and list below)
Profession: other medical doctor (describe)
Profession: other health care professional (describe)
Profession: other (describe)
Where are you located? (City, Country) *
Please list any non-English languages in which you are able to speak, read and write fluently: *
8) Do you have any other skills/experience we should know about? *8) Do you have any particular skills, qualifications or prior leadership experiences that you would like us to take into account when considering your interest in being a DRS volunteer? (please describe)
How many hours per month are you willing to volunteer? *	1 2-3 4-6 More than 6

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Thank you for your interest in serving as a Dysphagia Research Society volunteer!

For DRS committee listings and descriptions, please click here.