1. 2010 AFSH Board of Trustees Application

Thank you for your interest in applying for the Vice Chair position. The role of the Foundation is vital to the future of the field of upper extremity surgery. The AFSH supplies funding necessary for the vital research and education projects that may lead to the next groundbreaking innovation in surgery and treatment. Filling these positions with well qualified people is fundamental to continuing to realize the full potential of our research agenda set in motion to helping foster innovation in our field.

Vice-Chair: The person in this position is charged with fulfilling the Chair duties (principal executive officer of the Foundation who develops the long-term strategic goals and objectives and generally supervises and controls its affairs) when the Chair is unavailable. This position carries a two year term and the Vice Chair shall succeed to the office of Chair at the end of the current Chair's term.

Please complete the following online application and email your electronic CV to Alexzandra Wallace at awallace@assh.org. at the ASSH Central Office by August 16, 2010.

You are also required to complete the AFSH Conflict of Interest Disclosure. Click here to view the AFSH Conflict of Interest Policy. To complete your disclosure, please visit the ASSH website in the My Profile section. Click on "Edit" in the lower right corner, and then click on the "Conflict of Interest" tab.

Note: Please remember to enter today's date in the "Current date" field when saving your disclosure.

* 1. Please enter your name and email address in the space provided.

* 2. Primary Employer:

* 3. Please describe any past leadership roles you have held within the Hand Society and/or the Foundation.

* 4. Please share any additional thoughts or comments regarding the Foundation and/or your nomination.

To complete your application, you must send an electronic copy of your CV to Alexzandra Wallace awallace@assh.org and you must complete the Conflict of Interest information.

Deadline for submission of all materials: August 16, 2010

Thank you for your interest in applying for a position on the AFSH Board of Trustees.

Questions? Contact:
Alexzandra Wallace
6300 North River Road, Suite 600
Rosemont, IL 60018
Fax: 847-384-1435