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ILCA Volunteer Application 2021

Thank you for your interest in volunteering for ILCA!
 
Please complete this application and submit with a copy of your CV or résumé.
ILCA Committees *

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Personal Information

Name *
Credentials
Street Address *
City *
State/Province
Postal/Zip Code
Country *
Email Address *
Phone
Preferred Lanaguage

Experience and Qualifications

Primary role in the lactation field
IBCLC re-certification year
I would like to volunteer at ILCA to:
In which areas do you have skills and/or experience? (For example: current/previous volunteer work)
How would you like to use your skills to serve ILCA in a volunteer capacity? Please be as specific as possible.
What is your availability? (For example, "one hour a week")

Conflict of Interest

State any potential conflict of interest

I hereby certify that I personally subscribe without reservation to the Statement of Purpose of ILCA as found in its By-laws. I will disclose, in writing and before my appointment or election, any real, perceived or potential conflict of interest. A conflict of interest arises when I am in a position to influence a decision at ILCA that will result in personal or professional gain for me or a family member. Any undisclosed conflict found after I assume my position may result in a request for resignation. Further, I subscribe without reservation to the Fundamental Principles of ILCA as found in its By-laws. I will not accept any funding from entities that are not in compliance with the WHO Code of Marketing of Breast-milk Substitutes and its subsequent WHA resolutions, nor will I use my official ILCA capacity to endorse any literature or product.

 

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Applicant Signature *
Date
Required Attachment: Curriculum vitae or resume *
ILCA wants to ensure its content and communications reflects our global and diverse audience. At times, we would like to ask our volunteers to provide various perspectives from different regions around the world. Would you be willing to assist with reviewing our communications when asked?

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