ISOQOL Annual Conference Committee Application

ISOQOL Annual Conference Committee Application

The Annual Conference Committee plays a key role in shaping ISOQOL’s flagship event, from recruiting volunteers to supporting the development of the scientific program. If you are interested in contributing your time and expertise, please complete the form below to express your interest in serving on the ACC.

Note: This form is for committee member and subcommittee volunteers only. Applications for the Chair positions are collected through a separate form.

ISOQOL Member Information

Please provide your contact information below.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email

example@example.com

Please indicate which positions you are interested in (select all that apply):

If interested in the Local Representation Subcommittee, please provide short list of suggested academic, clinical, or public health contacts near the host city who may be aligned with ISOQOL’s mission.

CV Upload (Optional):

Headshot Upload: