South Central Association of Blood Banks


Committee Call Form
Please complete the application below to identify the areas in which you wish to serve the association. After submitting the form to Central Office, you will be contacted by the respective Committee Chair. If you have any questions, please contact Central Office at 866-649-6550.

Name:
Email:
 
I would like to serve on a committee. I have indicated my preference below.
I would be willing to serve in the position of Chair or Vice-Chair
 
Please select your preference below by marking your First Choice with a "1", Second Choice with a "2", and so on.
Finance Membership
Annual Meeting Admin. Program
Donor Recruitment, P.R. Etc. Awards
Exhibits Education
Local Arrangements Fund Raising
Planning Nominating
Technical/Scientific Program Publications
By-Laws Industry Workshops
Protege Mentorship Program History / Archives
 
I am currently a South Central Member.
I would like to become a South Central Member (Please see the Membership Section for information and an application)
 
Note: You must be a member to serve on a committee.
   
Please provide the following for the Officer and Committee Handbook.
   
Current Position:
   
Check all that apply:  
Phlebotomist SBB
Recruitment PhD
Communications Professional Component Production
LVN Administration
RN CEO
MLT MD
MT Other
BB
 
Preferred Mailing Address (please check your preference below):
   
Institution  
Institution Name:
Institution Address:
City:
State:
Zip:
Business Phone:
Fax:
Email:
 
Home  
Address:
City:
State:
Zip:
Business Phone:
Fax:
Email:
 




Contact SCABB
2901 Richmond Road, Suite 130-176, Lexington, KY 40509