American Speech-Language-Hearing Association

Audiology Members' Input Group (AMIG) Form

The ASHA Audiology Professional Practices team is establishing a group (ASHA members only) with specific interests to provide feedback to our team on a variety of issues. The topics may include (but not be limited to) federal and state issues for classroom acoustics and hearing screening in schools, practice management in audiology, and hearing preservation as a public health issue.

The team will initiate communication with you via e-mail when your particular interest arises. We will ask for specific feedback on these issues and may also invite you to participate in a conference call with other members with shared interests. From this new communication, we hope to expand networking opportunities with your audiology colleagues and to hear directly from members on what matters most.

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First Name:*

Last Name:*

Phone Number:

E-mail:*

Work Setting or Interest Area (check all that apply):*

Please tell us more about your subject interests.

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