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2019 Elected Positions Ballot

Page One

Thank you for participating in your Academy's nomination process for elected positions.
  • You do not need to nominate someone for every position.
  • You are encouraged to bring your own name forward if you would like to be considered.
  • Please include your name on this nomination form.
  • Please remember to click "Submit" at the bottom of the ballot when you're finished with your nominations.
If you need help deciding who would be effective in leadership positions, click here to view a PDF of position descriptions.

Nominations are due by 11:59 pm (CT) on February 28, 2019.

Your Academy is continually collecting nominations for all elected positions, regardless of current terms. All nominations submitted will be kept on file and reviewed as positions open. Elections for open positions will be held at the AAPM&R 2019 Annual Assembly. The Nominating Committee's slate will be posted in advance. Thank you!
1. Board of Governors: Vice President
Requires 2 years of previous service on the AAPM&R Board of Governors. To nominate for this position, please fill in the following information:
2. Board of Governors: Secretary
To nominate for this position, please fill in the following information:
3. Board of Governors: Treasurer
To nominate for this position, please fill in the following information:
4. Board of Governors: Member-at-Large
To nominate for this position, please fill in the following information:
5. Nominating Committee Member (not a board position)
To nominate for this position, please fill in the following information: