Co-Chair Application for Advanced Imaging Virtual Course

Please be sure to scroll down to complete all information. The submit button is at the bottom of the form.

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The term of co-chair is a 1-year with the following year being chair. This application cycle will be selecting the co-chair for 2027.

First Name

Last Name

Suffix

Email Address

Institution

I am an Active Member of ASE

Yes

I am a Fellow of ASE (FASE)

Yes

Experience

List previous echocardiography teaching experience

Describe leadership experience as faculty at previous ASE course(s) or at a regional or national medical meetings

include course name and year

List all committees, councils or task forces you have served

Other information you would like to share

Commitment

I am willing to commit to a possible 2-year term (1 year as Co-Chair and 1 year as Chair)

Yes

Unsure

Upon submission of your application

1. A confirmation email will be sent with instructions to complete the ASE disclosure form.

2. You will be redirected to upload the required application materials listed below. It may take a few seconds to redirect you to the upload window. Please be patient. a. Your CV b. Your Letter of Recommendation c. Your Letter of Interest

Send me a copy of my responses

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