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Committee Co-Chair Nominations
T1DX-QI Chair terms are ending in June 2022. We are looking for new Co-Chairs to help us lead these committees. Please use this form to nominate yourself for a T1DX-QI Committee Chair position.
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Name
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Title/Role
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Email
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Academic/Clinical Affiliation
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Please choose which type of clinic you represent
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Adult
Pediatric
Please choose what committee you would like to serve on
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Clinical Leadership Committee
Publications Committee
Data Science Committee
Please share in 200 words or less, why you would like to become chair of this committee.
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Please share, in 300 words or less, your vision for this committee.
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