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2026 DVHIMSS Board Member Nominating Packet
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1.
Basic Information
(Required.)
Name
Company
Email Address
Phone Number
HIMSS Member Number
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2.
Chapter Membership Attestation
(Required.)
I attest to being a current Delaware Valley HIMSS chapter member and have attended at least one chapter function in the last year.
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3.
Chapter Board Membership Attestation
(Required.)
I attest that I am not currently serving on the board of directors of another HIMSS chapter.
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4.
HIMSS National Board Attestation
(Required.)
I attest that I am not currently serving on the national HIMSS board of directors.
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5.
Please provide a professional bio and statement on why you are pursuing DVHIMSS board membership. This statement will be presented to chapter membership during the election.
(Required.)
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6.
Please upload a headshot for use in the election materials.
(Required.)
Choose File
No file chosen
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7.
By checking this box you are attesting that you meet all eligibility requirements to be a member of the Board of Directors for the Delaware Valley Chapter of HIMSS.
(Required.)
I meet all eligibility requirements to serve on the DVHIMSS Board of Directors.
