ON DPG 2026-27 Election Interest Form

Serving in a leadership role is a meaningful way to contribute to our profession, strengthen our community, and support the advancement of oncology nutrition.

Nomination Deadline: Friday, October 17th.

We encourage you to consider taking part in this important opportunity to share your skills, grow as a leader, and help shape the future of ON DPG.

Thank you for your continued support and engagement!

Name*

First NameLast Name

Credentials*

Email*

example@example.com

Work Phone Number

Please enter a valid phone number.

Home or Cell Phone Number*

Please enter a valid phone number.

Current Employment Position

Please select the position for which you would like to be nominated.*

Chair-Elect: 3-year commitment (1-year terms as Chair-Elect → Chair → Past Chair)Secretary: 2-year termNominating Committee Chair-Elect: 3-year commitment (1-year terms as Chair-Elect → Chair → Past Chair)DPG Delegate: 3-year term (eligible for 2 consecutive terms; maximum of 6 years)

Do You Currently Hold or Are You Running for Another Elected Position?*

YesNo

Volunteers are required to attend, at minimum, their committee meeting and the ON DPG Executive Committee meeting each month, for approximately 2 hours. Can you commit to participating regularly to these meetings or submitting written reports in your absence?*

YesNo

Personal Statement: Tell us why you are interested in running for this position in 100 words or less*

0/100

Please List Technology or Other Skills Related to the Position:

Please List Academy-ON DPG and Oncology Nutrition Related Organizational Activities (begin with most recent):

Please List Leadership Positions Held (begin with most recent):

Please Upload Current CV/Resume*

Please Upload Professional Headshot*