WNS Nominations Form 2023-2025
Name of Nominee
First Name
Last Name
Degree(s)
MD
DO
PhD
MPH
Email Address
example@example.com
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Employer
City
Open Positions
Please select the position you would like to be considered for.
WNS Board Position
President-Elect
Vice President
Secretary/ Treasurer
CME Director
Candidate Statement
Please limit to 250 words
Upload your CV
Browse Files
Cancel
of
Submit Nomination
Should be Empty: