FCACC FIT Committee Volunteer Service Application

Being a part of a committee, task force or working group at the chapter level does more than add a bullet point to your resume. You become part of a group that is dedicated to improving the CV community and patient care at the ground level. There are networking opportunities both within Florida and across the country, interaction with national leaders and the opportunity to serve in more places.

The Florida Chapter wants to include the voice of FITs on all of our volunteer opportunities - please complete the information below and submit your application today.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Name of Institution or Facility*

City*

Year of Fellowship*

1st, 2nd, 3rd, 4th

Date of Anticipated Graduation*

Subspecialty*

Committees meet by phone and in person at the FCACC Annual Meeting. All committee members are expected to attend the FCACC Annual Meeting. Please indicate if you are willing to be an active participant and attend meetings and conference calls.*

YesNo

FCACC Volunteer Service Application