Co-Chair Application for Echo in PCHD Virtual Course

Co-Chair Application for Echo in PCHD Virtual Course

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

PLEASE READ

The term of co-chair is a 1-year with the following year being chair. Therefore, this application cycle will be selecting the co-chair for 2027.The PCHD Council has indicated that they would like the chair/co-chair be a sonographer and a physician. Therefore, the 2027 selection will be a sonographer.

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 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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