AYR Committee – Ambassador Recruitment Program

Name*

First/Given Name Last/Surname

Member National Organisation*

Country*

Gender*

Age*

Date of Birth*

Mobile No*

Email*

Enter Email Confirm Email

Working Institution*

Working Position (E.g Senior Resident, Consultant)*

Have you completed Rheumatology training*

Choice of Committee

Which of the following AYR Committees would you like to join? You may choose more than one Committee and indicate your preference by 1 (most preferred) to 5 (Least preferred)

Education Ambassador

MNO Ambassador

Publication Ambassador

Social Media Ambassador

Website Ambassador

Any special skill/experience/qualities which you may contribute to AYR Committees and would like us to know: