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2.
Volunteer Interest Form
In order to best serve your volunteer interest, please answer the questions below to help ASHHRA better place you on a committee and/or taskforce.
1.
Personal Information
Name:
Organization:
Title:
Address 1:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2.
How many years have you worked in HR and/or a related field? Health care HR?
3.
Areas of Volunteer Interest
Please select the area(s) and role(s) you would like to volunteer for. If you are interested in more than one area, please prioritize them (1,2,3, etc.)
1
2
3
4
5
6
National Board of Directors (2 - 3 yr. commitment)
1
2
3
4
5
6
Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee)
1
2
3
4
5
6
National Advocacy Committee (1 yr. commitment)
1
2
3
4
5
6
National Learning and Education Committee (1 yr. commitment)
1
2
3
4
5
6
National Annual Conference Committee (1 yr. commitment)
1
2
3
4
5
6
National Subject Specific Task Forces (1 yr. commitment)
1
2
3
4
5
6
4.
Speaking Opportunities
Please select the speaking venues you would like to volunteer for. If you are interested in more than one area, please prioritize them (1,2,3, etc.)
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2
3
ASHHRA Annual Conference & Exposition
1
2
3
Webinars
1
2
3
ASHHRA Chapter Leadership Workshop
1
2
3
Regional Events
1
2
3
5.
Publishing Opportunities
Please select the publishing opportunities you would like to volunteer for. If you are interested in more than one area, please prioritize them (1,2,3, etc.)
1
2
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5
HR Pulse (ASHHRA quarterly magazine)
1
2
3
4
5
HR eNew Brief (ASHHRA monthly e-letter)
1
2
3
4
5
Benefits and Wellness Bulletin (BWB) eNews
1
2
3
4
5
Diversity Brief eNews
1
2
3
4
5
Books
1
2
3
4
5
White Papers (articles about health care HR, management, research, practice, legal and legislative developments)
1
2
3
4
5
ASHHRA Website/Links
1
2
3
4
5
6.
Work Experience
Please provide the positions/titles, dates of positions, organizations/agencies, and a brief summary of your duties starting with your present position.
Position/title:
Organization:
Dates Employed From/To:
Brief summary of your duties:
Position/title:
Organization:
Dates Employed From/To:
Brief summary of your duties:
7.
List your special strengths, skills, or talents related to the areas/roles you selected.
8.
Describe your professional experience, especially as it is related to the areas/roles you selected. Indicate if and when you have been an ASHHRA Board member, committee chair or chapter officer.
9.
Educational Preparation
Please provide the name of your School/College/University, Location (city/state), and the degree granted & Major.
Name of School/College/University:
Location (City/State):
Degree granted & Major:
Name of School/College/University:
Location (City/State):
Degree granted & Major:
Name of School/College/University:
Location (City/State):
Degree granted & Major:
10.
Time Management - Volunteers must meet deadlines and complete tasks so that expected services can be delivered to members on a timely basis. Please consider how the responsibilities of your volunteer position will fit with the demands of your job.
11.
Indicate if and when you have been an ASHHRA board member, committee chair, or chapter officer.
12.
If you have obtained your Certified in Healthcare Human Resources (CHHR) certification, please indicate the date you became certified.
Thank you for your interest and support of ASHHRA. Your submission is much appreciated. Someone from the ASHHRA staff or a committee chair will contact you.
If you should have questions in the meantime, please contact ASHHRA at:
E-MAIL: ashhra@aha.org
PHONE: 312-422-3720
