Application for Wisconsin ACHE Chapter Board of Directors

Please complete the application below and submit your resume to Once your application and resume have been received, you will be sent a survey link for those that support your nomination. We require that 10 Chapter Members complete the brief survey to support your nomination. We will contact you once we have received 10 completed surveys. The application, resume, and 10 supporters must be submitted by September 9, 2016.

* 1. Contact Information:

* 2. Why would you like to serve on the chapter board?

* 3. Please describe your prior board or volunteer experience:

* 4. What do you feel you can offer to this board that will assist in achieving the mission of the chapter?

* 5. Please provide four points relative to your healthcare experience to be included on the ballot.
Note: Your name, credentials, title, company/organization, and city will be provided already.

* 6. Have you sent your resume to
(If not, please do so as soon as possible.)

* 7. Indicate areas in which you are interested in working: