08
09
2020
Two doctors working on a laptop

2020-2021 Council of Program Representatives Nomination Form

By Brandi 0

Your Name (required)

Your Email (required)

Program

Year

Below is an opportunity to share information you feel is relevant to your candidacy. This information will be shared with members as part of the candidate profiles sent with the ballot to assist with the selection process. Please keep these sections to 250 words.

About Yourself:

Goals & Objectives:

Anything Else:

If elected, I promise to abide by the association’s constitution and by-laws.
Yes

 

author: Brandi