2023 Call for APGO Board of Directors Application

Application deadline is June 5, 2023.

Name*

First Last Suffix

APGO Member Since*

Institution*

Department*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Position Applying For*

Please list any APGO committees and task forces you have served on (past or present) and the years served. Please include any committee leadership positions and Board service here as well.

Please upload the following as a single PDF document:

The following documents are required for board applications (combine all into one PDF and submit via the application form):

Cover letter addressed to:
Nadine T. Katz, MD
APGO Nominating Committee
via email c/o: mgeorgakis@apgo.org, that includes:
1. One-paragraph statement of qualifications, including past experience and membership in non-profit associations.
2. In a second paragraph and in keeping with the APGO Strategic Plan Pillar to Increase Membership Engagement and Inclusivity, please provide your specific experience and activities related to promoting diversity, equity and inclusion and share how you would contribute to this commitment (i.e. how would you help develop and promote a volunteer pathway for future APGO volunteer leaders?, ways you utilize the APGO DEI Guidelines, etc.).
3. Short biographical sketch of the nominee using the NIH Biographical Sketch format.

NOTE: Statement of qualifications and biographical sketch for all nominees selected for the slate will be made available to members during the voting process.

Attachment*

Max. file size: 50 MB.

Headshot Upload*

Max. file size: 50 MB.