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?

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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