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Scientific Assembly Volunteer Form


Name and Address Information:
Name:
Home Street:
Home (City, St Zip):
Work Street:
Work (City, St Zip):


Scientific assembly or interest area (select up to 2)


Indicate Membership Category:




Contact Information:
Work Phone:
Home Phone:
Cell Phone:
Fax Number:
Email Addr:

If you have completed this form in the past, please complete again only if you have changes.   Please indicate your willingness to serve in any of the following capacities:

Meeting abstract reviewer - review abstracts for presentations at the annual meeting
Member of awards committee - reviews nominees for Kendall professional achievement award
Moderate a session at an annual meeting
NCCLS standard or guideline reviewer - usually requires content expertise
Forward names of speakers and topics for meetings

Join the continuing education committee, which selects topics and speakers for meetings
Assist with the ASCLS web page...
Answer patient questions
Write general information on testing
Moderate a web page forum
Write PACE questions for CME credit in the annual exhibit
Become a state or regional Scientific Assembly officer
Collaborate on history of discipline project

Support ASCLS Today, the Journal of Clinical Laboratory Science, other publications of ASCLS
Contribute articles ideas
Mentor
Reviewer
Editor
Author scientific articles, case studies, in-practice reviews, or focus section reviews