Become an ISBER Regional Ambassador

Regional Ambassador Program – Application Form (Online)

Please complete the following to apply to become a Regional Ambassador (RA). ISBER membership is required to be eligible.

If interested in applying as an RA it is advised to discuss interest with the relevant Directors-At-Large (DAL) prior to submitting this form.

Region *
First Name *
Last Name *
Email Address *
Organization *
Position *
Address Line 1 *
Address Line 2
City *
Province/State *
Zip/Postal Code *
Country *
Phone Number (with area code) *
Are you a current ISBER member? *Please note - only current members can be considered to become an RA, please ensure your membership is current prior to application.	Yes
Have you volunteered with ISBER before? *For example, on a committee, on a working group and/or task force. If yes, please give details (name of committee, working group and/or task force, activities involved in, dates served, etc.)
What sector of Biobanking do you have experience in? *(animal, human, environmental, museum, plant/seed, microorganism, etc)
Are you involved in local/national/international Biobanking community networking activities? *Are you involved in local/national/international Biobanking community networking activities that will assist in a broader outreach for ISBER?
Do you have experience presenting at meetings? *Give some examples of the most recent presentations you have given.
What are the 3 main areas/topics you feel are of most interest to biobanks in your geographic area? *
How do you feel you could contribute in the role of Regional Ambassador? *

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