2024-2025 Leaders of Choice Candidate Nomination Form
This program will prepare senior imaging professionals to be the confident, next-level leaders needed to manage the increasingly complex healthcare environment. In addition to growing overall business skills, presentation skills, and financial acumen, participants will be challenged to be bold thinkers, capable of changing the status quo and choosing the path forward for their organizations.
Candidate Information
Candidate Name
*
First Name
Last Name
Candidate Organization/Employer
*
Candidate Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Candidate Qualifications
Has the candidate earned their CRA credential?
Yes
I expect to complete all requirements in the next 12 months
I expect to complete all requirements in the next 24 months
I am not working on earning my CRA credential
Please review and reply to the requirements for participation:
Yes
No
Not Sure
Can you commit to attendance at monthly virtual meetings, 1 in-person meeting in Fall 2024, and the 2025 Annual Meeting?
Can you commit 1-2 hours per week on program work, including reading, online forum engagement, and your personal capstone project?
Do you have commitment from your employer to participate in Leaders of Choice?
Can you continue to participate in AHRA as a volunteer, author, etc., after completing the Leaders of Choice program?
Please provide a brief description of the candidate's managerial or leadership-level responsibilities.
All Leaders of Choice participants will complete a Capstone project where they implement the lessons learned within their organization. Please include your idea for a potential Capstone project for the candidate.
Supervisor/Submitter Information
All candidates must have the confirmed support of their direct supervisor to participate.
Supervisor Name
*
First Name
Last Name
Supervisor Email
*
example@example.com
Please include any details on why you are recommending this candidate.
Submit
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