2024-2025 Residents Forum Executive Committee - Candidate Statement of Interest

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* 1. Contact Information

Full Name w/credentials

Institution

What year do you plan on taking your Boards?

City/Town

State/ Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Which position are you running for? (select only one)

Chair

Vice Chair

Secretary

Alternate Delegate to the CAP House of Delegates

Alternate Delegate to the AMA Resident and Fellow Section

Member-at-Large

Digital Strategy Liaison

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* 3. How did you become interested in serving on the Residents Forum Executive Committee?

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* 4. What do you hope to accomplish during your time, if elected?

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* 5. Please convey your understanding of the role of an Residents Forum Executive Committee member and their responsibility to the Residents Forum and the College of American Pathologists.

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* 6. Please address the time commitment for the office in which you are interested and your ability to fulfill it.

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* 7. What talents and skills do you bring to the Residents Forum Executive Committee that you believe would benefit the Residents Forum?

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* 8. What else should the Residents Forum know about you?

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* 9. In submitting my candidacy for this Residents Forum Executive Committee election, I understand and am able to support the role and commitments of the position for which I'm running, and my responsibilities to the Residents Forum and the College of American Pathologists!

Yes

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* 10. Please upload your current Curriculum Vitae. (Please do not include your address and phone number)

PDF, DOC, DOCX, JPG, JPEG file types only.

Choose File

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* 11. Please upload a color photo - headshot

Photo must be at least 300dpi

JPEG, JPG, PNG file types only.

Choose File

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* 12. Are you able to attend the 2024 Fall Residents Forum Meeting on Saturday, October 19 in Las Vegas, NV in person?

Yes

Thank you! If you are approved by the nominating committee your information will be placed with your CV and Candidate Statement of Interest on cap.org and will be shared with all CAP RF Delegates.