Language
English (US)
Spanish (Latin America)
Portuguese (Brazil)
Tell Us About Yourself and Interests
Name
*
Dr.
Ms.
Mrs.
Mr.
Mx.
Miss
Prefix
First Name
Last Name
Email
*
example@example.com
What are your professional designations?
What is your primary organization?
Geographic Location
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Practice Type
Please Select
Small Animal
Feline-Only
Industry
Academia
Mobile/Relief
Retired
Other
How long have you been practicing veterinary medicine?
0-2 years
3-5 years
6-10 years
11-20 years
20+ years
When do you think you might be interested in volunteering, and in what capacity? You might consider sharing whether you're interested next year, in a few years, or only available for short-term opportunities like a Task Force. Feel free to include any specific roles or time constraints.
The FelineVMA looks to fill our volunteer opportunities with people from all types of backgrounds and perspectives. Please use the following space to briefly describe your personal background (i.e. how you chose a veterinary career, what you love about working with cats, experiences you've had in the past, the unique perspectives you bring, etc.)
What prior volunteer leadership experience (FelineVMA or non-FelineVMA service) do you possess that you believe will help FelineVMA accomplish its current goals and issues?
What core competencies and/or skills do you believe you will bring to a volunteer role? (Select all that apply
*
Strategic thinking
Social media savvy
Responsive
Academia
Problem-solving
Project management
Organizational structure
Practice management
Publications
Public speaking
Team player
Leadership
Sees both cats and dogs
Networking
Governance
Market research
Practice ownership
Managing volunteers
Written communications
Creative thinker
Marketing
Feline-only practice
Visionary
Finance/accounting
CE program development
IT/Big Data/Technology
Research studies
Of the below selections, what do you feel best suits your skills and interests (Check all that apply and include any specific areas or topics of interest in the "Other" box):
*
Mentoring students/residents
Wellbeing issues
Creating easy-to-use "cheat sheets" from papers, Guidelines, Toolkits, etc. for busy GPs
Creating educational materials
Providing guidance/tools on implementing Cat Friendly techniques/skills
Engaging with the FelineVMA Member Community (Booths at Conferences, online, etc.)
Technology (e.g. Providing guidance on website/app utilization)
Translating latest research into general practice
Community engagement
Scientific/Research writing (e.g. The Feline Practitioner magazine, other publications)
Speaking/Presenting
Moderating at conferences/webinars
Creating caregiver educational materials
Planning CE programs (conferences, webinars, etc.)
Training new veterinary professionals
Helping to develop and create new programs
Short-term miscellaneous projects or task that need input and feedback
Creating educational videos
Working with FelineVMA allied organizations (e.g. AVMA, etc.) to advocate for feline health and wellbeing
Other
If you selected "Other" above, please include specific areas or topics of interest in the space below.
Please describe your previous writing experience and if you have worked in prior collaborations?
Please describe your previous speaking/presentation experience and include dates and conferences that you have presented at.
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