IDENTIFICATION OF CANDIDATE
Applying for:
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Division Chair
Committee Chair
Name of Position applying for:
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Bio
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Name
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First Name
Last Name
Credentials
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Current work organization or note if retired
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Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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-
Area Code
Phone Number
Email
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example@example.com on record
How long have you been a member of ACNM?
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Years
What makes you uniquely qualified to for this position
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0/200
Upload your CV (Resume)
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Browse Files
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I ACKNOWLDEGE: As an ACNM Volunteer or Liaison Representative, I will read and agree to the terms of the Leadership Guidelines of Ethical Conduct, Conflict of Interest Policy, Confidentiality Policy, Consent to Serve and Meet Volunteer Obligations, Copyright and Intellectual Property Policy, Anti-Discrimination and Harassment Policy, Racism and Racial Bias Position Statement, and Anti-Bullying and Incivility Position Statement as found on http://midwife.org/ACNM-Governance-Policies.
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I ACKNOWLEDGE
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