Hospital Engineering Society of Greater NY Committee Request Form

Full Name*

Email Address*

Phone Number*

Current Position*

Organization*

Experience and Skills*

Please describe any relevant experience or skills you have that would be beneficial to the committee(s) you are interested in:

Have you previously served on any committees?*

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Availability*

Are you available for regular meetings? (e.g., monthly, bi-monthly)

Motivation*

What do you hope to achieve or contribute by being a part of this committee?

Additional Information*

Do you have any suggestions or ideas for the committee(s) you are interested in?

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