WIND Task Force Interest Form
Please complete the information below to indicate your interest in joining the Task Force! We anticipate to meet via zoom twice each fall and twice each spring.
Full Name
First Name
Last Name
FDA/ADA Member?
Yes
No
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
What time of day works best for you when scheduling virtual Task Force meetings? (you may choose multiple)
Morning
Lunch Time
Afternoon
Early Evening (4-6pm)
Tell us in a few words why you would like to volunteer for the WIND Task Force.
Submit
Should be Empty: