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ADS Request a New Special Interest Group (SIG)

If you are interested in forming a special interest group of a particular clinical, scientific, or educational area as it relates to delirium and which you think would be beneficial to the ADS membership, please first review the ADS Policy on SIGs, and then fill out and submit the form below.
1. SIG Chair *This question is required.
2. SIG Vice Chair *This question is required.
4. ADS resources requested (check all that apply): *This question is required.
  • * This question is required.
5. Upload a single, 2-page document (Word or PDF only please; 1MB file size limit) with the following:

Page 1: A description of the new group, which must be organized under the following three headings: What is the Purpose of this New Group; Planned Goals/Activities; How Will it Benefit ADS Members.

Page 2: A list of 10 current ADS members in support of the application. Provide first and last names, and emails of each supporting member; include yourself at the top of the list. If there are less than 10 supporting ADS members you must include an explanation why you cannot achieve 10 supporters. *This question is required.