Committee Member Application This field is hidden when viewing the formUntitledSelect the Committee(s) you are interested in:* Ig Certified Nurse Committee Ig Certified Pharmacist Committee Industry Advisory Committee Ig Therapy Standards Committee IgNS Educational Development Committee Name* First Last Email* Phone*Credentials*Place of workMain area of practice* Hospital/Acute Private practice Specialty infusion/specialty pharmacy Home infusion Ambulatory /independent infusion center Indicate your area of primary expertise (ok to select multiple)* Immunology Neuromuscular Rheumatologic Transplantation Other "Other" area of primary expertiseIndicate your patient population focus (ok to select multiple):* Select All Pediatric Adult Geriatric Please provide your brief bio (500 words or less)* Please submit your rationale for applying to serve on an IgNS Committee*