AHE Advisory Board Application

Applicant Information

Please complete all questions.

1. Name*

2. AHE Member ID*

3. Certification/Designation(s)*

4. Title*

5. Facility/Organization Name*

6. Address*

7. City, State, Zip*

8. Phone Number*

Phone

9. Work Email*

10. Educational Background - include degrees, licenses held*

11. Tell us about your experience, knowledge and expertise in health care Environmental Services*

12. Tell us about any manager/director level experience outside of environmental services if applicable*

13. List Any AHE Committee/Task Force/Action Team Participation*

14. Any Other AHE Volunteer Participation*

References

Please provide three (3) references.

Can include chairpersons of AHE committees and task forces, professionals from other organizations, and/or any hospital committees on which you served. Current AHE Advisory Board members and staff may not be used as a reference.

15. Reference #1*

Please include Name, Organization, Title, Address, Work Email and Best Daytime Phone Number

16. Reference #2*

Please include Name, Organization, Title, Address, Work Email and Best Daytime Phone Number

17. Reference #3*

Please include Name, Organization, Title, Address, Work Email and Best Daytime Phone Number

Additional Questions

19. Define the difference between an objective and a strategy.*

20. What is your understanding of the primary role of the AHE Advisory Board? The primary role of the AHE staff? The primary role of the AHE action teams/committees/task forces?*

21. In your belief, what is the biggest threat to the EVS profession and to AHE as an organization? What do you believe needs to be done to minimize those threats?*

22. What strategic initiatives do you believe the AHE advisory board should be moving forward on that it currently is not?*

23. Explain what a successful AHE Advisory Board member looks like to you.*

24. What key skills and attributes would you bring to the AHE Advisory Board that you believe will be assets to AHE over the next three (3) years ?*

25. Why do you want to be an AHE Advisory Board member?*

26. What is something you would like to see from AHE in the future?*

27. Briefly tell the Committee about a time you made a difficult and perhaps unpopular work-related decision.*

28. What additional comments would you like to share for the Nominating Committee's consideration of your application?*

29. What questions do you have for the Nominating Committee?*

Thank you for completing your application for the AHE Advisory Board. If you have any questions, please email Larisa Sutton, Sr. Specialist, Member Engagement at lsutton@aha.org.

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