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Committee Volunteer Form
Please select three committees from the following list and rank order them by your preference.
(For example, mark your first choice as "1"; your second choice as "2," etc.)
PEBA Committees / Your Selections
Communications :
Not Selected
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2
3
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5
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7
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9
Knowledge Exchange:
Not Selected
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2
3
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7
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9
Forum:
Not Selected
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2
3
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Special Events:
Not Selected
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9
Membership Development:
Not Selected
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2
3
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5
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7
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9
Programs:
Not Selected
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7
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9
Surveys (industry and membership):
Not Selected
1
2
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9
PEBA will make every effort to accommodate your preferences, but makes no guarantee that you will receive a spot on your first choice or on any committee. Committee openings are filled in the manner that best balances the committee between employers and providers and HR specialties. Professional experience, or specific skills, may or may not be a factor depending on the current needs of a committee.
Please Tell Us About You...
Name:
Title:
Organization:
Phone #:
Email:
Your functional area:
Compensation
Benefits
General HR
Other (specify)
Your skills/knowledge that could be helpful
on the committees of interest to you:
Years of PEBA membership:
Years in profession:
Would you be interested in
chairing a committee?
Yes
No
