NVHR member application

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PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THE APPLICATION

Thank you for your interest in joining the National Viral Hepatitis Roundtable (NVHR).
The National Viral Hepatitis Roundtable is a coalition of public, private, and voluntary organizations dedicated to reducing the incidence of infection, morbidity, and mortality from viral hepatitis in the United States through strategic planning, leadership, coordination, advocacy, and research.

Membership in NVHR is open to "Organizations" that support NVHR’s mission and demonstrate a strong interest in reducing viral hepatitis morbidity and mortality; and that are involved, or wish to be involved, in one or more of the following areas:

(a) Viral hepatitis education, information and awareness;
(b) Viral hepatitis research; and
(c) Viral hepatitis prevention, identification, medical management, or treatment.

[If you are an Individual NOT associated with an Organization and wish to join our mailing list, please see Question Number 8 below]

Categories of membership in NVHR.

1. Voting membership
Not-for-profit , community based organizations, and coalitions of community groups including medical, social service, educational, advocacy, support.
Each voting member organization may send up to two (2) representatives to in-person Membership Meetings, may have unlimited number of participants on the NVHR mailing list, conference calls, and NVHR subcommittees, but shall only have one vote in any matter to be decided by the membership of the NVHR. Such matters shall include, but not be limited to, the election of the Steering Committee.

2. Associate membership
Local, state and federal government agencies
For-profit organizations
Associate membership includes all privileges outlined above except for voting.

If you wish to become an NVHR Sponsor contact mbsaly@nvhr.org

Please complete the following information. Your application will be reviewed and notification made within two weeks of receipt.
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1. NVHR CODE OF CONDUCT
NVHR members should treat one another respectfully and refrain from:
• Abusive or hateful language in person, on the telephone or via the internet.
• Personal attacks on NVHR member organizations and their representatives, including attacks on race, religion, gender, sexual orientation, age, weight, disabilities or other identifiable characteristics of representatives or the communities they serve.
• Engaging in dialogue or email that impinges or demeans the actions or condition of other persons or organizations and emailing anonymously or using false names

When representing NVHR, members should avoid situations in which they have a personal interest that could be viewed by others as competing with the interests of NVHR or other member organizations. When representing NVHR, align your conduct and external presentation with the mission, vision, strategy and goals of NVHR.

Repercussions for non-adherence to the NVHR Code of Conduct is at the sole discretion of the NVHR Steering Committee. Possible consequences of non-adherence include:

• Giving offending party a warning
• Requiring member organization to select an alternative representative
• Severing of affiliation between NVHR and member organization

I have read and agree to adhere to the NVHR Code of Conduct. (Please note: answering "no" to this question will disqualify your organization from becoming a member of NVHR.)
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2. Please provide information about your organization
3. Please insert your organization or company website:
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4. Please describe your organization or company mission, goals relevant to viral hepatitis:
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5. What is your organization or company's primary interest (check all that apply)
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6. Type of organization or company:
7. Additional people from your Organization or Company you would like to include on the NVHR mailing list:
8. If you are not associated with a qualifying organization but wish to be included in our mailing list
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9. Type of membership requested:
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10. NVHR has permission to list our organization as a member and include a link from the NVHR member page to our website