• 2027/28 Board of Directors and Leadership Development Committee Nomination Form

  • Submissions due by November 16, 2026. Please review the AASM Conflict of Interest Policy before completing your nomination. Only voting members may serve on the AASM Board of Directors. If you have any questions about this application or the nomination process, please email nominations@aasm.org.

    Nominee To-Do List:

    Login to your AASM member profile and ensure your affiliations, profile, and contact information are current. You will need to upload the following documents as part of your application: CV or resume.

    Finalist Interviews

    Board nominee finalist interviews will be conducted on January 13, 2027 between 4-7 pm ET. Board nominees should be available during that time frame if they are selected as a finalist. 

    Saving your Application

    If you chose to save your application before it's completed, hit the "Save" button at the bottom of the page and this window will open:

    Choose the last option, "Skip Create an Account." You'll be brought to page to enter your email and will be sent a link to complete form at a later time.

     

  • Section 1: Background Information

  • What position(s) are you applying for?
  • Primary Specialty*
  • Practice Type*

  • Please note what percentage of your patients are adult vs. pediatric.

  • What percentage of your time is spent in research or in clinical practice.

  • Sleep Disorders Mix: What estimated percentage of your work involves treatment of the following sleep disorders:

  • Payer Mix: Please note your estimated payer mix (if known):

  • Are you Board Certified in Sleep Medicine or Behavioral Sleep Medicine?*

  • AASM Volunteer & Leadership Experience

  • Are you an AASM Fellow?*
  • Have you ever served as Chair of an AASM committee/task force/panel/course?*
  • 0/300

  • State Medical Licensing Board Disclosures

  • Have any disciplinary actions been threatened, initiated or are any pending against you by a state licensure Board?*
  • Has your license to practice in any state ever been denied, limited, suspended or revoked, diminished, not renewed, relinquished (whether voluntarily or involuntarily) or are any proceedings currently pending which may result in such action??*

  • Required Attachments

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  • Section 2: Nominee Experience & Strategic Priorities

  • Section 3: Technical & Leadership Skills Assessment

    Please review the list of technical and leadership skills and identify 5 strengths and 5 opportunities for growth.
  • Skills
    Rows

  • Conflict of Interest Disclosure Attestation

  • Note: If you do not have a current COI disclosure form on file or if updates to your current form are required contact nominations@aasm.org.

  • Should be Empty: