Nomination for Board of Directors Young Observer

2027 Young/Newer Member Observer Nomination to AMT Board of Directors

Please complete the form below to submit your nomination as a young observer/newer, non-voting member to the Board of Directors. To qualify you must be under 40 or have been a member for less than 5 years and an AMT member in good standing. Candidates will be selected by a vote from the current members of the Board of Directors. Deadline for submission is September 30, 2026.
Member name:

First NameLast Name
AMT ID
State/State Society
Certification: (Select all that apply)
Year Joined

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth
Statement of reasons why you think you would be a good candidate for a non-voting, young observer to the AMT Board of Directors. What is your philosophy for AMT?
Please list any volunteer activities. Write N/A if none.
Please list any national or state AMT awards you have received. Please include dates. Write N/A if none.
Please list any national or state AMT activities you have participated in (not required to be considered).
Would you be available to attend Board meetings on short notice?
Could you devote three weekends a year, including all day Friday to attend a Board meeting?
Please upload your current CV or resume (PDF or Word Document. 1 page strongly recommended)

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By submitting this form, I am agreeing to electronically sign this document and attest to the accuracy of all information submitted.
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2027 Young/Newer Member Observer Nomination to AMT Board of Directors