2016 AUPHA Faculty Forum Call for Nominations

Thank your for your service on your AUPHA Faculty Forum. Your Faculty Forum is currently looking for a volunteer for the Chair and/or Chair Elect position. If you would like to be considered for one of these position, please complete and submit the survey by the end of the day on Friday, April 22, 2016. Please contact Kristi Donovan at kdonovan@aupha.org if you have any questions.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Honorific

4. Email address *This question is required. This question requires a valid email address.

5. University *This question is required.

7. Please list any volunteer roles you have held in AUPHA, ACEHSA or CAHME

8. Please list any experience or roles that may be relevant to the chair or chair elect position for which you would like to be considered

9. If you wish to be considered for the Chair or Chair-elect position of your particular Faculty Forum, please make you selection below. *This question is required.

Cultural Perspective Faculty Forum Chair-Elect
Ethics Faculty Forum Chair
Ethics Faculty Forum Chair-Elect
Finance, Economics & Insurance Faculty Forum Chair-Elect
Health Policy Faculty Forum Chair-Elect
Management Faculty Forum Chair
Management Faculty Forum Chair-Elect
Medical Group Practice Faculty Forum Chair
Medical Group Practice Faculty Forum Chair-Elect