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Anticoagulation Forum Board of Directors
Open Call for Nominations

The Anticoagulation Forum is pleased to announce that we will be electing new members to our Board of Directors this spring. As AC Forum continues to expand its programs, partnerships, and impact, Board members play an important role in helping shape the organization’s strategic direction and future priorities.

Please complete the nomination form below to nominate yourself or a colleague. The Nominating Committee will review all nominations and invite select candidates to submit an Indication of Interest application in early December.

We are seeking established and engaged leaders in the field of antithrombotic care who are committed to AC Forum’s mission and prepared to contribute their expertise, perspective, and time to the organization. When considering yourself or a colleague for nomination, please keep the following qualities in mind:

  • Demonstrated leadership and expertise within antithrombotic care or a closely related field
  • A history of meaningful engagement with, or support for, AC Forum and its community
  • Strong commitment to advancing AC Forum’s mission and improving antithrombotic care
  • Willingness to actively participate in Board discussions, initiatives, and strategic priorities

All nominations are due by November 19, 2026.
1.Your Information(Required.)
2.Information of person you are nominating (you can self-nominate)(Required.)
3.What is the nominee’s discipline?(Required.)
4.Is the nominee’s practice primarily inpatient or outpatient?(Required.)
5.Please briefly describe why you or your nominee would be a strong candidate for the AC Forum Board of Directors, including relevant leadership or expertise in antithrombotic care, engagement with AC Forum or the broader field, and the perspective or experience you/they would bring to the Board. (250 words max)(Required.)
Other Expertise/Experience
The Board has also identified a few areas of experience or perspective that may be helpful as we consider the overall composition of the Board. These are not requirements and are simply intended to provide additional context for nominations.
Clinical Expertise
6.Please indicate if the nominee has expertise in any of the following:
Health System Leadership and Implementation
7.Please indicate if the nominee has expertise in any of the following:
Development and Strategic Partnerships
8.Please indicate if the nominee has expertise in any of the following:
9.If not selected for Board of Directors, is there an area of AC Forum the nominee may be interested in volunteering for?
10.Is there anything else you want the nominating committee to know about the nominee?
Thank you for your nomination to the Anticoagulation Forum Board of Directors!