Qualification Screen

Candidate Qualifier Attestation

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* 1. Nominee's Name:

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* 2. Has the nominee been a member in good standing of the National Medical
Association for not less than two (2) of the three (3) most recent years?

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* 3. Has the nominee shown in their professional and personal life that they support the Mission and objectives of the National Medical Association?

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* 4. Has the nominee demonstrated leadership qualities in their NMA local, state or the national organization as a physician?

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* 5. Has the nominee shown consistently the quality of compassion within the practice of medicine toward building membership, consensus building and crisis resolution?

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* 6. Has the nominee become involved in problems of the community, and worked for the betterment thereof, apart from those efforts which relate solely to the practice of medicine?

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* 7. Has the nominee successfully held at least one executive NMA leadership position at either the local or state level?

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