1. Basics

This application will take about 20 minutes to complete. To expedite the application process it is recommended that you have the following available for entering and uploading:
  • State license type and number
  • Know if you are a current member of AMHCA and a member for the past three consecutive years
  • Resume or CV
  • Have three (3) references with email addresses
  • Candidate statement for the website
  • Photo (to go with the candidate statement on our website)
  • Recommendation letter from State Chapter (if there is an AMHCA chapter in your state)
  • 3-5 Minute video about why you want to serve on the AMHCA Board of Directors


Applications Due by March 3, 2026
 
 25% of survey complete.

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* 1. Name and Credentials

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* 2. State License Type and License Number

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* 3. Are you an AMHCA member?

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* 4. Address

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* 5. Best Day(s) Time(s) to Call

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* 6. Has your license (in any State) ever been suspended or revoked?

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* 7. If yes to the above question, please explain.

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* 8. Have you ever resigned or been asked to resign from another association board or organization?

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* 9. If yes to the above question, please explain

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