Research.net Powered Online Survey

Question Title

* 1. Personal Information

Name:

Organization:

Title:

Address 1:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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* 2. How many years have you worked in HR and/or a related field? Health care HR?

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* 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)	National Board of Directors (2 - 3 yr. commitment) 1	National Board of Directors (2 - 3 yr. commitment) 2	National Board of Directors (2 - 3 yr. commitment) 3	National Board of Directors (2 - 3 yr. commitment) 4	National Board of Directors (2 - 3 yr. commitment) 5	National Board of Directors (2 - 3 yr. commitment) 6
Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee)	Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee) 1	Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee) 2	Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee) 3	Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee) 4	Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee) 5	Regional Consultant (2 yr. commitment--automatically on Regional, Chapter, and Member Services Committee) 6
National Advocacy Committee (1 yr. commitment)	National Advocacy Committee (1 yr. commitment) 1	National Advocacy Committee (1 yr. commitment) 2	National Advocacy Committee (1 yr. commitment) 3	National Advocacy Committee (1 yr. commitment) 4	National Advocacy Committee (1 yr. commitment) 5	National Advocacy Committee (1 yr. commitment) 6
National Learning and Education Committee (1 yr. commitment)	National Learning and Education Committee (1 yr. commitment) 1	National Learning and Education Committee (1 yr. commitment) 2	National Learning and Education Committee (1 yr. commitment) 3	National Learning and Education Committee (1 yr. commitment) 4	National Learning and Education Committee (1 yr. commitment) 5	National Learning and Education Committee (1 yr. commitment) 6
National Annual Conference Committee (1 yr. commitment)	National Annual Conference Committee (1 yr. commitment) 1	National Annual Conference Committee (1 yr. commitment) 2	National Annual Conference Committee (1 yr. commitment) 3	National Annual Conference Committee (1 yr. commitment) 4	National Annual Conference Committee (1 yr. commitment) 5	National Annual Conference Committee (1 yr. commitment) 6
National Subject Specific Task Forces (1 yr. commitment)	National Subject Specific Task Forces (1 yr. commitment) 1	National Subject Specific Task Forces (1 yr. commitment) 2	National Subject Specific Task Forces (1 yr. commitment) 3	National Subject Specific Task Forces (1 yr. commitment) 4	National Subject Specific Task Forces (1 yr. commitment) 5	National Subject Specific Task Forces (1 yr. commitment) 6

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* 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.)

	1	2	3
ASHHRA Annual Conference & Exposition	ASHHRA Annual Conference & Exposition 1	ASHHRA Annual Conference & Exposition 2	ASHHRA Annual Conference & Exposition 3
Webinars	Webinars 1	Webinars 2	Webinars 3
ASHHRA Chapter Leadership Workshop	ASHHRA Chapter Leadership Workshop 1	ASHHRA Chapter Leadership Workshop 2	ASHHRA Chapter Leadership Workshop 3
Regional Events	Regional Events 1	Regional Events 2	Regional Events 3

Question Title

* 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	3	4	5
HR Pulse (ASHHRA quarterly magazine)	HR Pulse (ASHHRA quarterly magazine) 1	HR Pulse (ASHHRA quarterly magazine) 2	HR Pulse (ASHHRA quarterly magazine) 3	HR Pulse (ASHHRA quarterly magazine) 4	HR Pulse (ASHHRA quarterly magazine) 5
HR eNew Brief (ASHHRA monthly e-letter)	HR eNew Brief (ASHHRA monthly e-letter) 1	HR eNew Brief (ASHHRA monthly e-letter) 2	HR eNew Brief (ASHHRA monthly e-letter) 3	HR eNew Brief (ASHHRA monthly e-letter) 4	HR eNew Brief (ASHHRA monthly e-letter) 5
Benefits and Wellness Bulletin (BWB) eNews	Benefits and Wellness Bulletin (BWB) eNews 1	Benefits and Wellness Bulletin (BWB) eNews 2	Benefits and Wellness Bulletin (BWB) eNews 3	Benefits and Wellness Bulletin (BWB) eNews 4	Benefits and Wellness Bulletin (BWB) eNews 5
Diversity Brief eNews	Diversity Brief eNews 1	Diversity Brief eNews 2	Diversity Brief eNews 3	Diversity Brief eNews 4	Diversity Brief eNews 5
Books	Books 1	Books 2	Books 3	Books 4	Books 5
White Papers (articles about health care HR, management, research, practice, legal and legislative developments)	White Papers (articles about health care HR, management, research, practice, legal and legislative developments) 1	White Papers (articles about health care HR, management, research, practice, legal and legislative developments) 2	White Papers (articles about health care HR, management, research, practice, legal and legislative developments) 3	White Papers (articles about health care HR, management, research, practice, legal and legislative developments) 4	White Papers (articles about health care HR, management, research, practice, legal and legislative developments) 5
ASHHRA Website/Links	ASHHRA Website/Links 1	ASHHRA Website/Links 2	ASHHRA Website/Links 3	ASHHRA Website/Links 4	ASHHRA Website/Links 5

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* 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:

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* 7. List your special strengths, skills, or talents related to the areas/roles you selected.

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* 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.

Question Title

* 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:

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* 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.

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* 11. Indicate if and when you have been an ASHHRA board member, committee chair, or chapter officer.

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* 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

Question Title

* 1. Personal Information

Question Title

* 2. How many years have you worked in HR and/or a related field? Health care HR?

Question Title

* 3. Areas of Volunteer InterestPlease 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.)

Question Title

* 4. Speaking OpportunitiesPlease 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.)

Question Title

* 5. Publishing OpportunitiesPlease 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.)

Question Title

* 6. Work ExperiencePlease provide the positions/titles, dates of positions, organizations/agencies, and a brief summary of your duties starting with your present position.

Question Title

* 7. List your special strengths, skills, or talents related to the areas/roles you selected.

Question Title

* 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.

Question Title

* 9. Educational PreparationPlease provide the name of your School/College/University, Location (city/state), and the degree granted & Major.

Question Title

* 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.

Question Title

* 11. Indicate if and when you have been an ASHHRA board member, committee chair, or chapter officer.

Question Title

* 12. If you have obtained your Certified in Healthcare Human Resources (CHHR) certification, please indicate the date you became certified.

* 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.)

* 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.)

* 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.)

* 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.

* 9. Educational Preparation
Please provide the name of your School/College/University, Location (city/state), and the degree granted & Major.