INA Membership Engagement Task Force Interest

INA Membership Engagement Task Force Interest Form

**Submitting this form does not guarantee a spot on this task force. If selected, you will be required to complete a consent to serve document.**
Thank you for your interest in serving on the INA Membership Engagement Task Force. This group will use the Membership Engagement Survey results and member perspectives to identify new and improved ways to connect with and engage INA members.

The task force will meet virtually at least twice per month through the remainder of the calendar year and will develop a recommended membership engagement action plan for presentation to the INA Board of Directors at the November 20 meeting.

Please complete the following questions to tell us more about your interest, experience, and availability.
Name

First NameLast Name
Preferred Email Address
example@example.com
Preferred Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current job title or professional role
Professional setting of current role (e.g., hospital, academia, community, legal, ambulatory, etc.)
How long have you been an INA member?
Why are you interested in serving on the INA Membership Engagement Task Force?
What do you believe would help INA members feel more connected to the association and one another?
Are there specific membership engagement challenges or opportunities you would like the task force to address?
What perspectives, skills, or experiences would you bring to the task force?
Which areas of membership engagement are you most interested in?

Other
Please briefly share one idea INA could consider to improve member engagement.
Are you able to participate in virtual meetings at least twice per month through the remainder of the calendar year?
Which meeting times generally work best for you?

Other
Are you willing to complete occasional work between meetings, such as reviewing information, gathering feedback, or helping draft recommendations?
Is there anything else you would like us to know as we consider task force membership?
Should be Empty:

INA Membership Engagement Task Force Interest Form