GLARIN Membership Survey
Please take a few minutes to answer these important questions. You can shape the future of your association.

Would you be interested in any of the following
activities?
Yes 
No 
1. Becoming an officer for the current year?
President Elect 
Secretary 
Treasurer 
2. Chairing or participation on a chapter
committee?
Yes 
No 
If yes, please check which one most interests you
Membership 
Newsletter 
Scholarship 
Library 
3. Sponsoring a conference at your
Hospital/Facility?
Yes 
No 
4. Speaking at a GLARIN Educational Seminar?
Yes 
No 
If yes, topic:
5. What topics would be of interest to you during
a GLARIN conference?
6. Writing an article for our newsletter?
Yes 
No 
7. How may we assist you? Please note any
further questions, comments or suggestions.
Please give us your name, contact phone number and
email address. Thank you.
Powered byEMF Web Forms