Open Call for Local Section Advisory Group (LSAG) Vice Chair

Nominations are due September 29, 2023.

Name:

Company:

State / Province

Email:

Phone Number:

Are you an AIHA FULL MEMBER in good standing?

Career Stage:

Early Career Professional (10 or fewer years of experience)

Professional (11-30 years of experience)

Senior Professional (Over 30 years of experience)

Briefly share what experience or engagement level you've had with AIHA local sections?

Briefly state why you are interested in serving on the Local Sections Advisory Group?

What do you hope to accomplish as a member of the Local Sections Advisory Group?

What do you see as the biggest challenge/challenges facing AIHA’s members and local sections right now?

What experience or talent would you bring to address these challenges?

ADDITIONAL DIVERSITY QUESTIONS

In our efforts to be representative of our membership population, we seek to build diverse and inclusive volunteer groups. We believe when people bring their unique identities, backgrounds, perspectives, and experiences to our work, we achieve better results for everyone. With this in mind, please consider providing the following diversity questions.

NOTES:

You may decline to provide any information which you do not feel comfortable furnishing. Simply check “I do not wish to provide this information”.
AIHA strictly limits the use of this information for internal demographic purposes (i.e., to better understand the make-up and representation of its volunteer community) and shall NOT share it with any third parties or use it for any marketing purposes. The demographic information offered is NOT used in open call selections.

Race/Ethnicity (Definitions from the current US Census Bureau):

Hispanic/Latino/Latina/Latinx: A person of Cuban, Mexican, Puerto Rican, South or Central American, Spain, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latinx): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American (Not Hispanic or Latinx): A person having origins in any of the black racial groups of Africa.

Native Hawaiian or other Pacific Islander (Not Hispanic or Latinx): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Asian (Not Hispanic or Latinx): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent.

American Indian or Alaska Native (Not Hispanic or Latinx): A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Bi-Racial/Mixed Race/Multi-Racial: All persons who identify with more than one of the above races.

I do not wish to provide this information

Are you fluent in any languages other than English?

Yes

Do you identify as having a disability?

Yes

I do not wish to provide this information

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