ACMG Board of Directors Nominee Submission Form v. 2

ACMG Board of Directors Nominee Form

This form must be completed in full to be considered as a candidate. Partial submissions will not be considered. Please read the eligibility requirements below before completing the form.
Select the ACMG Board Seat(s) being applied for.*

President-ElectDirector Clinical GeneticsDirector Clinical Biochemical GeneticsDirector Clinical Cytogenetics
Nominated by or Self-nominated (indicate below):*
SUBMISSION DEADLINE: JUNE 17, 2026

The ACMG Nominations Committee developes a slate of candidates from the nominations received by the membership. ACMG Fellow members may self-nominate. To be considered for candidacy the Nominee must complete this form in full.

Eligibilty: To apply you must be an ACMG Fellow Member (MD, DO, or PhD) and previous ACMG volunteer service is a prerequisite. Physician Fellows must also be AMA members.

Note: A director of the College may not concurrently serve as a College employee, or as an officer, director, or employee of the American Society of Human Genetics, the American Board of Medical Genetics and Genomics, the Society for Inherited Metabolic Disorders, the Association for Molecular Pathology or any other national or international professional organization that the Board of Directors deems to present a potential conflict with the Director’s service to the College.

The Nominations Committee strives to bring forward a diverse and equitable slate of candidates. We encourage anyone meeting the prerequisites above to apply.

ACMG Board of Directors Role and Time Commitment

The following ACMG Board of Directors seats are up for election this year:

One (1) President-Elect Seat

Eligibility: Any Fellow in good standing (MD, DO, or PhD) of the College is eligible to run for President-Elect. Physician Fellows must also be AMA members.

Term: Six years total: 2027 - 2033 (as President from 2029 - 2031).

Number of Candidates Needed:
One (1) President-Elect to fill the seat that will be vacated by Christa Lese Martin, PhD, FACMG

Four (4) Director Seats

Eligibility: Any Fellow in good standing (MD, DO, or PhD) of the College is eligible to run for the Board of Directors. Physician Fellows must also be AMA members.

Term: Six years: 2027 – 2033

Number of Candidates Needed:

Two (Two (2) - Director Clinical Biochemical Genetics to fill the seat vacated by Jerry Vockely, MD,PhD, FACMG

2) - Director Clinical Clinical Genetics to fill the seat vacated by Shweta Dhar, MD, MS, FACMG

Two (2) - Director Clinical Genetics to fill the seat vacated by David Stevenson, MD, FACMG

Two (2) - Director Clinical Cytogenetics to fill the seat vacated by Hutton M. Kearney, Phd, FACMG
Name

First NameLast Name
ACMG Member Number *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
US geographical region or country outside the United States*

NortheastSouthernMidwestWesternAlaskaGuamHawaiiPuerto RicoSomoan IslandsU.S. Virgin IslandsOther
Employer (enter n/a if none)*
Please select all that apply*

AMA MemberDOMDMD/PhDPhD
Please select all current certifications*

Clinical Biochemical GeneticsClinical Cytogenetics/and GenomicsClinical Genetics/and GenomicsClinical Molecular Genetics/and GenomicsLaboratory Genetics and GenomicsMedical Biochemical GeneticsPhD Medical Genetics
Gender*

MaleFemaleNon BinaryTransgender FemaleTransgender MalePrefer not to answerOther
Ethnicity*

African American or African Origin or DescentAlaska Native or Alaskan Origin or DescentAmerican Indian or American Indian Origin or DescentAsian American or Asian Origin or DescentEuropean American or European Origin or DescentHispanic or Latino American or Hispanic or Latino OriginMiddle Eastern American or Middle Eastern Origin or DescentNative Hawaiian or other Pacific Islander American or Native Hawaiian or other Pacific Islander Origin or DescentPrefer not to answerOther
ACMG Volunteer Service - Please list below all current and previous volunteer service instances including Board, Task Force, Committee, or Workgroup activity and dates of activity. Please note: ACMG volunteer service is required to be eligible for election to the ACMG Board of Directors.
A CV is required but does not replace the requirement for completing this form in full. Use the "Browse Files" button to select and upload your CV. *

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ACMG Board of Directors Nominee Form