SurveyMonkey Powered Online Survey

2026 Trauma, Burns, and Surgical Critical Care Board Director Nomination

Please complete the form below to nominate a colleague for a position on the Trauma, Burns, and Surgical Critical Care Board of the American Board of Surgery (TBSCCB-ABS). The application/nominee form must also be submitted by the nominee for your nomination to be considered. The deadline for nominations is Monday, May 11, 2026.

Question Title

Please enter your name. (Required.)

Question Title

Please provide your preferred email address for ABS correspondence. (Required.)

Question Title

Please enter the nominee's name. (Required.)

Question Title

Please enter the nominee's email address. (Required.)

Question Title

Please indicate the type of nomination below. (Required.)

Society nomination

Individual nomination

Supporting a self-nomination

2026 Trauma, Burns, and Surgical Critical Care Board Director Nomination

Question Title

* Please enter your name. (Required.)

Question Title

* Please provide your preferred email address for ABS correspondence. (Required.)

Question Title

* Please enter the nominee's name. (Required.)

Question Title

* Please enter the nominee's email address. (Required.)

Question Title

* Please indicate the type of nomination below. (Required.)

Question Title

* Please provide the name of the society, if applicable.

Please enter your name. (Required.)

Please provide your preferred email address for ABS correspondence. (Required.)

Please enter the nominee's name. (Required.)

Please enter the nominee's email address. (Required.)

Please indicate the type of nomination below. (Required.)

Please provide the name of the society, if applicable.