AGS Board of Directors Self Nomination Form

Please fill in the following information. Fields marked with an '*' are required.
Name:
Are you an AGS member? (Please Note: You must be an AGS Member to sit on the AGS Board.)
Have you served/or are you currently serving on an AGS Committee?
Have you applied for Committee Service in the past?
In which other AGS activities are you currently active?

 

Supporting Documents

Please Note:
In order for your application to be complete you need to also submit the following documents to
mjsamuel@americangeriatrics.org by October 1, 2018:

  • Two letters of support from current AGS Board and/or Committee members
  • A 2 page biographical sketch or short curriculum vitae.

If the person is being nominated by a current or past AGS Board Member, a completed ‘AGS Board of Directors Nomination Form’ can be used as their letter of support. If not, AGS staff will follow-up with the nominee, and ask them to obtain a letter of support in order to complete their application.

 

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