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  1. University of Arkansas for Medical Sciences
  2. Institute for Digital Health & Innovation
  3. Brain Injury Program
  4. About Us
  5. Arkansas Brain Injury Council (ABIC)
  6. Arkansas Brain Injury Council Membership Application

Arkansas Brain Injury Council Membership Application

The Arkansas Brain Injury Council (ABIC) provides advice and expertise to create and strengthen a system of services and supports that maximizes the independence, well-being, and health of people with brain injuries through the development and monitoring of a Colorado Brain Injury State Plan. Please visit and read about the current goals and strategies in the current Arkansas State Plan 2018-2021.

  • The Council consists of 21 members.
  • The Council is made up of people who have lived brain injury experience, family members or caregivers, and representatives from organizations and agencies that serve and support the brain injury community.
  • Full Council meetings are held quarterly with committee meetings in between as needed.
  • When in-person meetings are held, reimbursement of travel costs are available (per the State of Arkansas’ travel reimbursement policies).
  • Terms are four years in length and start in the month of July, unless filling a vacated seat.

If you are interested in serving as an ABIC member, please complete this form. There is not a deadline to apply. The team will keep all applications on file for future Council openings. If you have questions or problems with the form, please email braininjury@uams.edu.

Application

Your Personal Information

Your Name(Required)
Your Email Address(Required)
Address(Required)
Are you:(Required)

Application Questions

The Advisory Board meets four times each year and terms are four years in length. Can you commit to meeting quarterly for the next four years?(Required)
Tips for answering this question: 1) Start by brainstorming a list of possible challenges. 2) Pick 2 or 3 and think about how these challenges have affected people in your community (or yourself if you have experienced a brain injury). 3) Be specific and provide examples. 4) Explain why you believe these challenges are the most pressing.
Please provide us with the names and contact information of two people we can contact who would recommend you for the ABIC:(Required)
Contact # 1
Name
Relationship
Phone
Email
Contact # 2(Required)
Contact # 2
Name
Relationship
Phone
Email
Institute for Digital Health & Innovation LogoInstitute for Digital Health & InnovationInstitute for Digital Health & Innovation
Mailing Address: 4301 W. Markham St., #513, Little Rock, AR 72205
Contact Us: (501) 526-6576
24/7 Nurse Hotline: (855) 767-6983
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