SWRO Subcommittee Sign-Up Form

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Please use this form to sign up for one of our several SWRO subcommittee positions!
See our website for a detailed description of each committee.

Email *

Name *

Institution *

Country/Location *

Job Title/Credentials *

Attending Physician

Physicist

Resident Physician

Physics Resident

Medical Student

Dosimetrist

Coordinator

Radiation Therapist

Other:

Which subcommittee you are MOST interested in applying to? (select first choice here) *

Diversity, Equity and Inclusion

Advocacy

Physics & Physics Advocacy

Communications

Mentorship

Events and Outreach *NEW*

If you were unable to be in your first choice subcommittee (above), are there other subcommittees you might be interested in? (check all that apply) *

Diversity, Equity and Inclusion

Advocacy

Physics Advocacy

Communications

Mentorship

Research Hub

Events and Outreach

Required

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