Candidate Statement and CV upload
Name
*
First Name
Last Name
Email
*
example@example.com
I am running for the position of
*
President
President-Elect
Vice-President
Secretary
Assistant Secretary
Treasurer
Assistant Treasurer
Speaker
Vice-Speaker
Third District Councilor
Ninth District Councilor
Queens Councilor
OMS Councilor
WPS Section Councilor
Resident and Fellow Section Councilor
Medical Student Section Councilor
Board of Trustee
AMA Delegate
RFS Delegate for the NY Delegation
MSS Alterante for the NY Delegation
Eighth District Councilor
Suffolk County Councilor
hold command key to select 2nd position
Please type a brief candidate statement.
*
If you are a prefatory nominee please upload your CV.
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