AVAHO Committee Application

AVAHO's Committees are an integral part of the success of our organization. We are seeking dedicated, passionate members who want to help AVAHO achieve its goal of developing the best care for veterans with cancer and hematological disorders.

If you are interested in joining a committee, please fill out the following form. Note: committee members must be active AVAHO members in good standing.

Name*

First NameLast Name

Credentials*

Current Job Title*

VA Affiliation or Facility of Employment*

Personal Email*

example@example.com

How long have you been a member of AVAHO?*

Please indicate your interest in the following committees in order of preference. Committees are currenlty listed alphabetically.

Note: While preference will be honored when possible, some committees may not have openings at the time of your application. If we cannot place you on your first or second choice of committee we will work with you to identify an alternate committee of interest or a plan for later application when a position is available on a preferred committee.

Click, Drag and drop to move your selected committees in order of preference *

Tell us why you'd like to serve on an AVAHO Committee, including any past experience with committee work. Please list previous positions or experience that pertains to the specific committees on which you would like to serve:*

Please acknowledge the following:*

I understand that AVAHO Committees are a 2-year (renewable) termI understand I am expected to attend at least 75% of regularly scheduled meetings

AVAHO Committee Membership Application