MDS Leadership
Candidate Profile
Candidate Name
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Given Name
Middle Name
Surname
E-mail
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Position of Interest - Positions taking effect 2021 – 2023
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President (6-year commitment: President-Elect/President/Past President)
Officer: Secretary (4-year commitment: Secretary-Elect/Secretary)
Officer: Treasurer (4-year commitment: Treasurer-Elect/Treasurer)
International Executive Committee Member (4-year commitment/two 2-year terms)
Please provide a list of activities you have been involved with through MDS
Year joined as MDS Member
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MDS Committee/Task Force/Study Group/Regional Section History - List Position, Group Affiliation and Date(s) of Service (i.e.: Member, Education Committee, 2017-2019)
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Participation in MDS Events or Courses - List Role, Event, Year (i.e.: Faculty, International Congress, 2019 / Attendee, School for Young Neurologist Course, 2018)
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Personal Bio (Written background summarizing both your professional (education and work) and MDS accomplishments)
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Limit to 175 words or fewer and write in third person form (i.e.: Dr. Smith earned his degree)
0/175
Personal Vision Statement (Describe your reasons for wanting to be considered and the contributions you would like to make)
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Limit to 250 words or fewer and write in first person form (i.e.: My vision for MDS is...)
0/250
Please upload your current CV, in English
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Submit
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