AMSA House of Delegates Nominations & Credentials Committee Application

Applications must be received by 11:59 PM ET on December 31, 2024.

If you have any questions, please contact the House of Delegates Chair at vpia@amsa.org.

I am applying for

Credentials Committee Only

Nominations Committee Only

Credentials Committee (1st choice)-Nominations Committee (2nd choice)

Nominations Committee (1st choice)-Credentials Committee (2nd choice)

First Name

Last Name

Email Address

Phone Number

Phone

School

Stage of Training

Anticipated Graduation Year

Are you an AMSA Member?

Note: All committee members must be AMSA members at the time of selection. If you are not currently a member, visit amsa.org/join to sign up.

Yes

Are you interested in serving as a Committee Chair?

Yes

Are you running for national office?

Note: Candidates for national office are not eligible to serve on the Nominations or Credentials Committees.

Yes

Paragraph of Intent

(no more than 100 words)

Resume/CV

Please attach your resume/CV here.

Drop your files here

I understand

Nominations and credentials committee members are expected to participate in virtual training and other duties prior to Convention, as well as attend and participate in AMSA's Annual Convention.

I understand

Send me a copy of my responses

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