ACVO-ABVO Volunteer Form

Are You currently contributing to the advancement of the ACVO or ABVO? You Can! VOLUNTEER today and offer your expertise to one of the following committees:

Notes:
Indicate the ACVO committee(s) in which you have interest:

Indicate the ACVO committee(s) in which you have interest: Genetics Governance Ethics Journal (Editorial Board Member) Membership Promotion and Outreach Committee Basic Science Course PharmTox Diversity, Equity, & Inclusion Planning Committee, Continuing Education Sub-Committee ListServs Nominating
I am interested in volunteering to work with the Vision for Animals Foundation (VAF):

I am interested in volunteering to work with the Vision for Animals Foundation (VAF): VAF
Become a Veterinary Ophthalmology Journal reviewer. If you would like to volunteer as a reviewer, select topics of interest below. You do not need to be a committee member to serve as a reviewer (check all that apply):

Become a Veterinary Ophthalmology Journal reviewer. If you would like to volunteer as a reviewer, select topics of interest below. You do not need to be a committee member to serve as a reviewer (check all that apply): Eyelids Cornea Lens Retina Orbit Surgery Pharmacology Equine Physiology Statistics Microbiology Pathology Electrophysiology Immuniology Imaging Genetics Molecular Large Animal Glaucoma Dry Eye Neoplasia Cataract Neuro-Ophthalmology Laboratory Animals Avian Exotics Internal Medicine Feline
I've served on past ACVO and/or ABVO Committee(s) and would like to be considered as a future candidate for the:

I've served on past ACVO and/or ABVO Committee(s) and would like to be considered as a future candidate for the: ACVO Board of Regents ABVO
Indicate the ABVO committee(s) in which you have interest:

Indicate the ABVO committee(s) in which you have interest: Credentials Examination Residency MOC Appeals
Please indicate below on which committees you have served previously.
Please indicate any committees on which you are currently serve.
Please provide a VERY brief bio to explain your interest, background qualifications or simply interest in becoming a member of the committee(s) noted on this form.
To help ensure professional diversity, please inform us as to where you primarily work as a veterinary ophthalmologist:

To help ensure professional diversity, please inform us as to where you primarily work as a veterinary ophthalmologist: University Industry Private Clinic
Individuals are contacted as vacancies occur throughout the year. If you are not contacted in the year you volunteer, please know that your interest is appreciated and your name is being maintained on record for consideration for future openings. Many committees may need to meet demographic requirements so it is recommended that interested individuals submit interest annually for a couple years, and also email the Chair directly. Completing all information below will increase your chances of being fully considered. Thank you for your interest and willingness to serve!
Name Name * First Last
Work Phone Work Phone - ### - ### ####
Address Address
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Email *
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