Steering Committee Candidate Information Form

Please note that your responses will serve as your introduction to the Nominating Committee as they begin their review of Steering Committee candidates.

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* 1. Contact Information

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* 2. What position are you seeking for the College of American Pathologists (CAP) 2024-2026 HODSC?*

* Notes on time commitment for HODSC positions: The positions of Speaker and Vice Speaker are ex-officio members of the CAP Board of Governors, and, as such, carry with them considerable time commitments. Candidates should be aware that this will include time away from the office. Serving as a liaison to one of the CAP Councils is part of the job description for the Secretary and Member-at-Large positions. Attendance is expected at all council meetings, virtually or in-person.

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* 3. What is your primary practice setting?

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* 4. Are you a member of your State Pathology Society?

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* 5. Are you a member of your State Medical Society?

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* 6. Are you a member of the AMA?

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* 7. Do you have any special interests, talents, or abilities (other than the practice of pathology) that you believe would make you a valuable contributor to the HODSC?

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* 8. Please describe your positions in and contributions to the CAP House of Delegates (e.g., previous HODSC positions held, Action Group involvement, etc.)

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* 9. Please describe your positions in and contributions to the CAP (e.g., committee memberships, LAP inspections, etc.).

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* 10. Please describe your positions in and contributions to your state pathology and/or medical society (e.g., offices held, committee memberships, etc.).

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* 11. Why do you want to be a member of the HODSC?
Disclaimer: If you are slated by the Nominating Committee or run by petition your answer here will be used in entirety on cap.org as your profile statement. (max. of 1000 characters including spaces)

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* 12. If you are elected, what three goals do you hope to achieve?

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* 13. What value do you feel you'll bring to this particular position on the HODSC?

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* 14. What current challenges, in your opinion, face the CAP House of Delegates and how might they be addressed?

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* 15. Please upload your current curriculum vitae. (PDF, DOC, DOCX files are supported. Max 16MB.)

PDF, DOC, DOCX file types only.
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* 16. Please upload your current professional headshot. (PNG, JPG, JPEG files are supported. Min 1MB.)

PNG, JPG, JPEG file types only.
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