Board of Directors Application

New Submission Deadline: April 1st

ACOEM is seeking applications from eligible members to serve on the Board of Directors for the positions of Vice-President (2022-23), Treasurer (2022-24), and three Director positions (2022-25):

The application deadline is April 1st, 2021.

Those interested must complete the online application, thereby indicating their willingness to run if nominated and serve, if elected. Board Members are also required to attend Board of Directors Meetings on a quarterly basis and are appointed to serve on select Board committees. For more details and to gauge the time commitment involved while serving on the Board, you may refer to our Board Meetings Summary Document.

Please contact Lucy Free, Director of Governance, if you should have any further questions.

THANK YOU

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Application Process details:

The Application Review Process will begin after the application deadline and ends on May 5
Applicants will be notified of their application status by mid-May.
The approved Election Slate will be shared with the Membership.
Those elected to run, will recieve additional information about lobbying and the election materials required leading up to the 2021 Board Election. (to clarify, the 2021 Election serves to select Board members beginning their term in 2022)
ACOEM's 2021 Board Election will be held between November 1st and December 15th.
Those ultimatley elected to office will begin their term at the 2022 AOHC meeting, on Wednesday, May 4, 2022.

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Interested in applying for multiple positions?

To express interest in more than one elected position here is what you need to know.

If after the application review process you are selected as a Candidate, you may only run for (1) position in the Election
The position you run for is chosen by the Candidate Selection Committee and approved by the Board of Directors
To apply for multiple positions , you must submit separate applications, (1) for each position.
Please complete this form and revisit the link to complete another application.

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CONFIRM ELIGIBILITY and WILLINGNESS TO RUN IN THE ELECTION and serve on the Board as listed for the position I am applying for. *

YES, I currently hold FELLOW member status and agree to run if nominated, and serve if elected

CONFIRM BOARD MEETING ATTENDANCE and PARTICIPATION. Board Members must attend Quarterly Meetings and agree to be appointed to other committees and councils as assigned. (refer to Board Meeting Summary document for details) *

YES, I agree to attend board meetings as scheduled and am willing to accept appointment on other committees and councils

SELECT BOARD POSITION you are applying for: (select one) *

VICE PRESIDENT (2022-23): TREASURER (2022-24): DIRECTOR (2022-25):

(1) VICE PRESIDENT (2022-23):

Requirements: Applicants must hold Fellow status and have served on the Board of Directors at least (2)years.

Application Materials: A Letter of Intent* and CV are required to apply.

Term / Position Details: This Board Officer position requires a 4-year commitment; transitioning from Vice President (2022-23) to President-Elect (2023-24), to President (2024-25), and to Immediate Past-President (2025-26).

Board Officers also serve on the Executive Committee and other BOD committees as assigned or as prescribed in the committee or council composition details.

(1) TREASURER (2022-24):

Requirements: Applicants must hold Fellow status and have served on the Board of Directors at least (2) years.

Application Materials: A Letter of Intent and CV are required to apply.

Term / Position Details: This Board Officer position serves a 2-year term and serves as the Finance Committee Chair and is appointed to other BOD committees as assigned or as prescribed in the committee or council composition details.

DIRECTOR (2022-25):

Positions Available: (3)

Requirements: Applicants must hold Fellow status.

Application Materials: Completion of this online application and submission of a current CV are required to apply.

Term Details: This Director serves one 3-year term and is appointed to other BOD committees as assigned.

Candidate Name *

First Name Middle Name Last Name Credential/s

Email *

example@example.com

Cell phone *

Area Code Phone Number

EMPLOYER *

Current Position or JOB TITLE: *

Medical School *

(include location of school - City/State)

Medical School Graduation Year *

List Board Certification/s: (Board, Specialty and Year) *

Director Candidate Statement (not less than 50, nor more than 250 words) *

ONLY A FEW SENTENCES REQUIRED 0/260

List OEM Focus, Interests and Areas of Expertise *

ONLY A FEW SENTENCES REQUIRED

VOLUNTEER ACTIVITIES: List ACOEM Activities including committee, council and Section and Component activities. If extra space is needed, please include complete list on CV. *

ACOEM Activity Type

Group Name

ROLE
(member, chair, etc.)

Year begin/ year end

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Upload Letter of Intent *

Browse Files

Upload Current CV *

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OPTIONAL: Upload Letter/s of recommendation (no more than 2):

Browse Files

Board of Director Candidate Application Form