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2027 Annual Meeting
Clinical Science Webinar Series
SBSM Engages Community Webinar Series
Future Annual Meetings
Past Annual Meetings
SBSM Connects Calls
Groups & Networking
Special Interest Groups
Committees
News and Stories
SBSM Spotlight
News Releases
Newsletters
President’s Message
SBSM Journal
Specialty Resources
Educational Resources
Careers
Awards & Scholarships
Events
About
SBSM Membership
SBSM Strategic Plan
SBSM Bylaws
Leadership
Past Presidents
Donate
Contact
Ethical Principles & Code of Conduct
FCOI
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Membership Committee Application
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Membership Committee Application
2026 Membership Committee Application
First Name
*
Last Name
*
Email
*
What is your gender/gender identity?
*
Race
*
American Indian or Native American
Asian & Indian Subcontinent
Black or African American
Middle Eastern & North African
Native Hawaiian & Other Pacific Islander
White
Other
If Other:
Ethnicity
*
Hispanic
Non-Hispanic
What is your primary work setting?
*
Academic hospital
State hospital
Non-profit organization/ hospital
Private practice
University/ college
For profit organization/ industry
Please select your country/region of employment.
*
United States
Canada
Central America
South America
Europe
Asia
Africa
Australia
What drives your interest in being a part of the Membership Committee?
*
What past experience do you have that would help when on the Membership Committee?
*
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