Michigan Academy of Family Physicians is seeking members for the Academy’s Board of Directors and Officers. MAFP values diverse leadership as the Board is strengthened by differences among members in race, gender, ethnicity, age, sexual orientation, religion, practice areas and settings (solo, group practice, employed, academic, urban, rural, etc.), geographical regions, and philosophies about the Family Medicine specialty. Board members serve in an advisory capacity on behalf of the Academy. Board Member requirements and responsibilities are listed below:
  • Be a member in good standing of MAFP.
  • Support the mission of MAFP, which is to support Family Physicians in Michigan through leadership, collaboration, and innovations to achieve the best patient outcomes.
  • Be willing to commit the necessary time to serve on the Board of Directors (attend quarterly meetings), and to serve on one or more MAFP committee.
  • When possible, represent MAFP and its members at various events and programs.
  • Develop an understanding of MAFP’s governing process and the issues impacting Family Medicine and Family Physicians. (Please note that an orientation is required of all new Board members.)
  • Attend the Michigan Family Medicine Annual Conference & Expo and Annual Meeting of Members (held in the summer) to provide input on deliberations involving Academy governance.
To be considered to serve on the MAFP Board of Directors, submit this completed form and an up-to-date copy of your curriculum vitae no later than March 1. To submit your CV, email it to info@mafp.com; fax it to 517.347.1289; or mail it to MAFP, Attn: Board of Directors Nomination, 2164 Commons Parkway, Okemos, MI 48864.

By submitting this commitment and nomination form, you are attesting that, if selected, you can fulfill the requirements and responsibilities listed above.

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* 1. This nomination is a:

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* 2. Nominee's Contact Information

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* 3. Nominator's Contact Information (if this is a nomination by a colleague)

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* 4. Please consider this nomination for the following position(s) (check all that apply):

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* 5. What is your/the nominee's primary practice type?

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* 6. What is your/the nominee's secondary practice type (if applicable)?

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* 7. Where is your/the nominee's practice located?

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* 8. Are you/the nominee an International Medical Graduate?

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* 9. Have you/the nominee served on the MAFP Board of Directors in the past?

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* 10. Have you/the nominee served on an MAFP Committee in the past?

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* 11. List other medical societies in which you/the nominee are a member and/or participate:

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* 12. Why are you/the nominee interested in serving on the MAFP Board of Directors?

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* 13. What qualities, skills and/or expertise would you/the nominee bring to the Board?

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* 14. What arrangements have you/the nominee made in your practice, teaching or administrative position to permit you/the nominee to actively participate in MAFP meetings held quarterly (approximately 3-4 hours plus travel time), and on one or more MAFP committee (committees meet 2-4 times annually)?

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* 15. There may be a time when you/the nominee will be needed to represent an Academy position that you/the nominee personally oppose. Should such an occasion arise, how would you/the nominee handle this?

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* 16. Do you believe you/the nominee have a grasp of the issues and concerns facing MAFP and/or the specialty of Family Medicine? How do you/the nominee stay informed?

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* 17. On a scale of 1 to 10, what is your/the nominee's comfort level if asked to respond to issues from the media and/or legislators?

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* 18. Is there any additional information or other comments you would like to share with the Nominating Committee for its consideration?

After completing this form, submit an up-to-date copy of your curriculum vitae no later than March 1, in one of three ways:

Email: info@mafp.com

Mail: Michigan Academy of Family Physicians, Attn: Board of Directors Nomination, 2164 Commons Parkway, Okemos MI 48864

Fax: 517.347.1289

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