Maryland HIMSS (MD HIMSS) Volunteer Application

Maryland HIMSS (MD HIMSS) Volunteer Application
Thank you for your interest in volunteering with Maryland HIMSS (MD HIMSS). Our volunteers play a critical role in advancing the chapter’s mission, supporting programming, and strengthening member engagement across Maryland’s healthcare and health IT community.

MD HIMSS seeks volunteers who demonstrate a genuine commitment to the chapter and a desire to contribute time, expertise, and service. Volunteer roles are intended to support chapter operations, programs, and member engagement and are not intended primarily as a means for business development, solicitation, or commercial access to chapter leadership or membership.

Eligibility Requirements

To be considered for a volunteer position, applicants must meet the following criteria:
- Be a current MD HIMSS member in good standing, and
- Meet one of the following eligibility pathways:
1. Standard Eligibility Requirement

- Have maintained continuous MD HIMSS membership for at least one
(1) year prior to the application date

OR

2. Healthcare Organization Affiliation Exception

- Be employed by or formally affiliated with a healthcare organization,
such as a hospital, health system, provider group, payer, public health
agency, or similar entity, and
- Be a current MD HIMSS member in good standing

This exception is intended to encourage active participation from
individuals directly engaged in healthcare delivery, operations, and
transformation.

Please complete all required sections below.

Submission of this application does not guarantee selection, as all applications are reviewed based on eligibility, availability, prior engagement, and alignment with chapter needs.

While not required, applicants may be prioritized if they demonstrate prior engagement with MD HIMSS, including event attendance, participation in chapter activities, or involvement in HIMSS initiatives.

Section 1: Applicant Information
Full Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City/State

Section 2: Employment and Organization Information
Current Job Title
Current Employer/Organization
Type of Organization
Describe your organization’s primary focus
Are you employed by or formally affiliated with a healthcare organization?
If yes, please describe your affiliation:

Section 3: MD HIMSS Membership Information
Are you currently a member of MD HIMSS in good standing?
Membership Start Date (Month/Year)
Length of current continuous MD HIMSS membership:
HIMSS/MD HIMSS Member ID (if available)
If you have been a member for less than one year, please indicate whether you are requesting consideration under the healthcare organization affiliation exception:

Section 4: Volunteer Interest
Which volunteer opportunity are you applying for?
Why are you interested in volunteering with MD HIMSS?
What do you hope to contribute as a volunteer?

Section 5: Prior MD HIMSS / HIMSS Engagement
Have you attended any MD HIMSS events in the past 12 months?
If yes, please list events attended (if known)
Have you previously volunteered with MD HIMSS or another HIMSS chapter?
If yes, please describe:
Please describe any other ways you have engaged with MD HIMSS, HIMSS, or the broader healthcare community:

Section 6: Skills, Experience, and Areas of Interest
Please check any areas where you have relevant experience or interest:
Please summarize any relevant professional, volunteer, or leadership experience that would support your service to MD HIMSS:

Section 7: Availability and Commitment
How much time are you able to commit to a volunteer role?
Preferred level of involvement:
Preferred days/times for volunteer activities:

Section 8: References or Chapter Connections (Optional)
Do you know any current or former MD HIMSS leaders, board members, committee members, or volunteers?
If yes, please list names and relationship:

Section 9: Conflict of Interest and Professional Conduct
To help maintain a service-oriented volunteer culture, MD HIMSS asks all applicants to respond to the following:
Do you currently work in a role that includes business development, sales, account management, partnerships, or client acquisition responsibilities?
If yes, please briefly describe your role:
Describe how you will maintain appropriate professional boundaries and ensure your volunteer service is focused on supporting the mission of MD HIMSS rather than business solicitation or commercial access:
Do you have any actual or potential conflicts of interest that MD HIMSS should be aware of in evaluating your application?
If yes, please explain:

Section 10: Applicant Attestation
Please review and acknowledge the statements below.

* I affirm that the information provided in this application is accurate and complete to the best of my knowledge.

* I understand that MD HIMSS volunteer roles are intended to support the mission, programs, and member engagement activities of the chapter.

* I understand that volunteer service is not intended primarily as a vehicle for business development, solicitation, marketing access, or commercial visibility with MD HIMSS leadership or members.

* I agree to uphold professional conduct, respect confidentiality as applicable, and represent MD HIMSS in a manner consistent with its mission and values.

* I understand that submission of this application does not guarantee appointment to a volunteer role.

* I understand that eligibility may be based on my MD HIMSS membership status, membership tenure, and/or qualifying healthcare organization affiliation, as well as chapter need and role fit.

* I have have read and understand the following Maryland HIMSS Volunteer expectations:

All volunteers are expected to:
- Support the mission and goals of MD HIMSS
- Contribute in a collaborative and professional manner
- Maintain appropriate boundaries and avoid using volunteer roles for commercial or sales-driven purposes
Volunteer Atendance Expectations and Participation Standards

Active participation is essential to the success of MD HIMSS committees, initiatives, and volunteer activities. Volunteers are expected to demonstrate consistent engagement and contribution in their assigned roles.

Attendance Expectations

Volunteers are expected to:
- Attend all scheduled committee meetings, working sessions, and assigned activities when reasonably possible
- Arrive prepared and ready to contribute
- Actively participate in discussions, initiatives, and assigned tasks
  Communication of Absences
- If a volunteer is unable to attend a scheduled meeting, they are expected to:
  - Notify the committee chair(s) or designated lead in advance, whenever possible
  - Communicate any anticipated extended absences or schedule conflicts
  - Remain engaged with committee work outside of meetings, as appropriate
Participation Standards

Volunteers are expected to:
- Contribute meaningfully to the work of the committee or initiative
- Complete assigned tasks and commitments in a timely manner
- Maintain professional, collaborative, and respectful engagement with fellow members
Volunteers who do not meet attendance and participation expectations may be subject to removal from their role.

Specifically:
- Volunteers who miss two (2) or more committee meetings without prior notice, or
- Volunteers who demonstrate a consistent pattern of non-attendance or lack of active participation, may be removed from their volunteer position.
- Such determinations will be made at the discretion of the committee chair(s) in coordination with MD HIMSS leadership, as appropriate.
Discretion and Flexibility

MD HIMSS recognizes that professional and personal obligations may occasionally impact availability.

Committee chair(s) may exercise reasonable discretion in evaluating:
- The frequency and context of absences
- The volunteer’s overall level of engagement and contribution
- Any extenuating circumstances communicated in a timely manner
Signature
Date

MonthDayYear
Date
Should be Empty:

Maryland HIMSS (MD HIMSS) Volunteer Application

Section 1: Applicant Information

Section 2: Employment and Organization Information

Section 3: MD HIMSS Membership Information

Section 4: Volunteer Interest

Section 5: Prior MD HIMSS / HIMSS Engagement

Section 6: Skills, Experience, and Areas of Interest

Section 7: Availability and Commitment

Section 8: References or Chapter Connections (Optional)

Section 9: Conflict of Interest and Professional Conduct

Section 10: Applicant Attestation