Become an External Medical Advisory Board Member
We want you! 
We are currently seeking credentialed External Medical Advisory Board Members to assist in the growth and development of HODA.
Please tell us a bit about yourself and how you might be able to use your talents and passions to help us grow as we work toward finding treatments for Hypertrophic Olivary Degeneration.
Please reach out to us with any questions regarding this form or the Board commitments. 
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Email *
Full Name *
Telephone number *
Mailing address *
Social media handles
Prior Board experience
Please provide your medical education history
Current career
Current job title
How many hours could you commit to HODA each month? *
Why would you be a good Board member for HODA *
Do you have any personal or professional connection to HOD or any other rare disease?
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Is there anything else you think we should know about you?
A copy of your responses will be emailed to the address you provided.
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