Submit a nomination for the 2019 ASHHRA Board

Thank you for your interest in serving as an ASHHRA Board Member. If you have not already done so, please read the Board Member Position Descriptions.

To be considered as a slated candidate, this form must be completed by May 11, 2018.

Eligible members may submit information for more than one position. Please submit separate forms for each position.

* 1. Personal Information

* 2. Please select the ASHHRA Board position sought for 2019-2020. (Select one. If applying for multiple positions, please submit a separate application for each position.)

* 3. If selected as an ASHHRA Board Member, will you be available to attend the September 15, 2018, breakfast and board meeting prior to the annual conference in Pittsburgh?

* 4. I have read the position description for the ASHHRA Board position for which I am applying and understand the time commitment required to serve as a member of the ASHHRA Board. I realize that volunteers must meet monthly deadlines, complete tasks, attend a variety of meetings/events and ensure that the board remains focused on executing the ASHHRA Strategic Plan.

I plan to manage my time in the following manner to ensure I meet the above needs along with the ASHHRA Board role expectations I am seeking:

* 5. List your special strengths, skills or talents related to the board position you selected and how you would be effective in this role. Please give examples from past work and/or volunteer positions.

* 6. Select the statement that best applies to you regarding the Certified in Healthcare Human Resources (CHHR) credential.

* 7. List by year your activities/accomplishments in ASHHRA at the local chapter, regional and national levels. This may also include honors and recognition.

* 8. List by year your activities/accomplishments during your membership(s) in local, state and national organizations OUTSIDE of ASHHRA (include offices held and dates). This may also include honors and recognition.

* 9. Tell us why you are the best-qualified candidate for the position you are applying for. (This will be your personal statement to appear on the ballot.)

* 10. Please list three ASHHRA products and/or services you have utilized in the last year. Please be specific. This can include educational courses and events, services utilized and/or products purchased through ASHHRA.

* 11. How do you reflect the HR Leader Model competencies in your professional life? (The HR Leader Model can be found at

* 12. How would you like to apply the HR Leader Model competencies on the ASHHRA Board?

* 13. Why are you seeking this volunteer opportunity at this time?

* 14. Please submit a copy of your resume.

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* 15. Please submit a high resolution headshot.

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* 16. Please provide the name, title, organization, phone and email address we can contact as a professional reference.

Thank you for your interest and support of ASHHRA. Your submission is much appreciated.

If you have questions, please email or call (312) 422-3720.