MSMC Call for Nominations

MSMC Board Nominations
Nominees must be members in good-standing in the Society. Directors are elected to 3-year terms and may serve up to 2 consecutive terms. Board members are asked to participate in up to 5 board meetings during the year (meetings are held in-person during the weekday evening and include dinner; virtual option avaialble) and encouraged to plan or attend at least 1 event during the year.
Nominee Information
Name*
Credentials
MD, DO, other
Specialty
Organization*
Primary practice
Email*
example@example.com
Nominated By
Name
Name of person submitting nomination. If self-nominated, include your name or leave blank
Self-Nomination

I am self-nominating (If checked, please skip to the next section)
Full name
Credentials
Organization
Email
Email of person nominating a candidate
Nomination Statement
Statement: Please submit a short statement of support for the nominee, or if this is a self-nomination then please submit a candidate statement.*
CV

Browse Files
Please upload your current CV Cancelof
Picture

Browse Files
Please upload a current picture Cancelof
Should be Empty:

MSMC Board Nominations