VCSQI Board Nomination Form

VCSQI is dedicated to transforming cardiovascular care by elevating patient experience and delivering greater value across the healthcare system. We are seeking visionary leaders who share our commitment to innovation, equity, and excellence in heart health.

This nomination form helps us identify individuals with the expertise, passion, and strategic insight to guide our mission forward. Whether you’re nominating yourself or someone else, please provide detailed responses to help us understand the nominee’s qualifications and alignment with our values.

Together, we can shape the future of cardiovascular care.
1.Nominee’s Full Name
2.Nominee’s Organization or Affiliation
3.Nominee's Email Address
4.Reason for Nomination
5.Nominated By