BOD Officer Election Application Form 2022

APPLICATION: AMWA OFFICER POSITIONS OPEN

The American Medical Women's Association has the following open positions for those who wish to apply for leadership positions:

AMWA President-elect 2023-2024 (beginning March 2023)

AMWA Secretary 2023-2025 (beginning March 2023)

Please apply if you are interested in furthering the mission of AMWA to advance women in medicine and improve the health of all patients. Positions on the Board offer a unique opportunity to serve AMWA at the national level.

Please see the AMWA Future Meetings page (https://www.amwa-doc.org/future-amwa-meetings/) for dates to be sure you are able to commit to attendance and participation.

DEADLINE: AUG 13 @ 11:59 pm PT

Application Criteria: To apply, an applicant for secretary or treasurer must be a full member (Circle of Honor, Lifetime, Affiliate Upgrade, Young Physician, Branch, Part-time, Retired) in good standing for at least a year. Individuals applying for president-elect must be a member for at least 3 years.

NOTE: Student elections will be held later in the year. Please check the student section of the amwa website amwa-doc.org.
In order to apply for a Board position, an applicant must first agree to perform/maintain 4 requirements of Board membership.
Maintain active AMWA membership (i.e., current on dues). *

I agree
Attend monthly Board of Director conference calls, currently scheduled for the second Monday of the month from 8 to 9 pm or 7 to 9 pm eastern time. *

I agree
Attend the Annual Meeting and the Interim Leadership Meeting in person. *

I agree
Raise a minimum of $1,500 of fundraising/donations per year. *

I agree
Full Name *

First Name Last Name
E-mail *

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Board Position
Indicate which officer position you are applying for.

President-elect Secretary
Statement of Interest
Please share your reason for seeking this AMWA position. This statement will be posted on the AMWA website during elections. Please keep response to 250 words or less. *

Limit to 250 words 0/250
Please describe how you can help AMWA fulfill its vision of creating a healthier world where women physicians achieve equity and realize their full potential. This statement will be posted on the AMWA website during elections. Please keep response to 250 words or less. *

0/250
Please describe what diverse experiences and perspectives you bring that will help AMWA reach its full organizational potential. This statement will be posted on the AMWA website during elections. Please keep response to 250 words or less. *

0/250

Publishable Biosketch
Please provide a short biosketch of 250 words or less. This information will be posted on the AMWA website during the elections.

Limit to 250 words 0/250
Publishable Curriculum Vitae
Please upload a current curriculum vitae, no more than 5 pages in length, that demonstrates the experience and contributions you will bring to the leadership position. This should be in a PDF format, as it will be accessible from the the AMWA website during elections. Please remove all personal information that you do not wish to share publically. CVs longer than 5 pages will not be accepted. *

Browse Files

Cancel of
I give permission to have my CV posted on the candidate profile page of the AMWA website during the election period. *

Yes No

Additional Candidate Information
AMWA Service, Involvement and Relevant Experience *
Leadership Roles (limit to 5)
Advocacy and Community Service Activities (limit to 5)
Presentations (Academic or Non-academic), Optional (limit to 5)

Agreement and Electronic Signature
By submitting this application, I affirm that I am a national AMWA member. If elected, I will miss no more than two meetings per year including the 3 major Board meetings. I affirm that I have reviewed the application instructions, I affirm that the facts set forth here are true and complete. I understand that if I am elected as an AMWA leader, any false statements, omissions, or other misrepresentations made by me on this application may result in my dismissal. All applications are due by August 7, 2021.
Signature (electronic)
Should be Empty:

Board Position

Statement of Interest

Publishable Biosketch

Publishable Curriculum Vitae

Additional Candidate Information

Agreement and Electronic Signature