GF Board and Committee Application
Tell us how you can contribute!
Name (First, Initial, Last) *
Your answer
Address *
Your answer
Phone (cell) *
Your answer
Connection to Galactosemia *
Your answer
Current Profession/Position *
Your answer
Interest Areas *
Specific Intentions for Service:
No Interest
Low Interest
Moderate Interest
High Interest
Very High Interest
Special Events (eg conference)
Policy / Advocacy
Education / Training / Certifications
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Board / Committee Experience (Please list organizations, roles, dates of services)
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How do you feel the Galactosemia would benefit from your involvement on the Board?
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Why do you want to serve on the GF Board or Committees?
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