The American Geriatrics Society - About - AGS Member Language Skills Assessment Form

AGS Member Language Skills Assessment

The AGS Communications department is working with the Ethnogeriatrics Committee on identifying ways to expand the reach of AGS and AGS Foundation for Health in Aging Resources and messaging to diverse ethnic communities. In order to do so, we are asking that AGS Members who are fluent in other language volunteer to help us in our efforts. If you are an AGS member who is fluent in another language, please take a few moments to complete the online questionnaire and let us know how you can help.

Language Skills Assessment Form

Please fill out this form if you are an AGS member who is fluent in any other language(s) besides English and willing to use your language skills to assist with AGS Communications and/or Media Efforts.

Thank you, in advance, for your time and efforts!

Please provide us with your information:

First Name
Last Name
Degrees
Primary Email Address
Primary Phone Number

Have you served/or are you currently serving on any AGS Committees or the AGS Board?
Yes
No

If Yes which one(s), and please list dates of service?

Which languages (other than English) would you be willing to help the AGS translate current written FHA Public Education Materials into?

African languages
Arabic
Armenian
Chinese (Mandarin)
French
French Creole
German
Greek
Italian
Japanese
Korean
Persian
Polish
Portuguese
Russian
Serbo-Croatian
Spanish
Thai
Vietnamese
Other, please Specify
Not interested in participating

In which languages would you be willing to serve as an AGS Spokesperson with the media? (AGS Staff will contact you to have you complete a Spokesperson Volunteer form that will help identify topics and modes of communicating with the media that you are comfortable with)

African languages
Arabic
Armenian
Chinese (Mandarin)
French
French Creole
German
Greek
Italian
Japanese
Korean
Persian
Polish
Portuguese
Russian
Serbo-Croatian
Spanish
Thai
Vietnamese
Other, please Specify
Not interested in participating

Do you have any suggestions/resources for translating FHA Public Education Materials to different languages?

Do you have media contacts that you would like to share with the AGS Communication Department?

Additional Comments/Suggestions for reaching different ethnicities/ populations with our public education materials and/or media outreach?

If you have any questions or comments about this survey, please contact Dagmara Podwyszynska at dpodwyszynska@americangeriatrics.org or 212-308-1414.

Thank you!