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* 1. Please provide your contact information below:

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* 2. What is your gender?

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* 3. What is your field of study?

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* 4. Please list any previous activities with ASM (volunteer, webinars, events, etc.)

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* 5. How would you describe your social media knowledge?

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* 6. How often do you use ASM Connect?

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* 7. Please state any social media experience (professional)

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* 8. How many hours could you commit to volunteering in ASM Connect?

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* 9. Please provide two professional references and their contact information

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* 10. Please upload your CV

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Choose File

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* 11. ASM Connect is segmented into 8 Networks (or forums), each corresponding to a Microbiology scientific track. Which track interests you the most? You can select more than one. 

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* 12. How did you find out about this volunteer position?

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* 13. Why are you interested in volunteering for the ASM Connect Community Champion role? Select all that apply.

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