Get Involved with GLMA Local Chapters
Whether you want to connect with the chapter in your state or help launch one, we’d love to hear from you. Fill out this form and we’ll be in touch with next steps.
Name
*
First Name
Last Name
What are your pronouns?
*
Who is your current employer?
*
What is your current professional role?
*
Email
*
example@example.com
What city do you currently live in?
What state do you currently live in?
*
Are you a current GLMA member?
*
Yes
No
I'm not sure
Which of the following aspects of local chapters interests you?
*
Local advocacy
Networking
Clinical education
Mentorship
Fundraising
Leadership opportunities
Plug into national advocacy
Other
If other, please elaborate:
Do you have local leadership or organizing experience?
*
Yes
No
Would you be interested in learning more about chapter leadership roles (ex. Co-chair, President)?
*
Yes
No
Unsure
Submit
Should be Empty: