Board of Directors Nomination Form

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Q&A
First Name *		Last Name *
Organization *
Professional Title *
Email Address *
Number of Bases at your Program *Please enter the total number of bases that your organization has.
For which open seat are you submitting a nomination? *	Class I Class IV Class V
Question 1
AAMS and MFI have a commitment to diversity, equity, and inclusion. State how you demonstrated leadership in these areas and how your experience will inform your contribution as board member?
Question 1 Answer *
Question 2
Foresight - defined as understanding the changes ahead for the transport medicine industry and society - is a fundamental leadership competency. Tell us about a time you applied foresight to impact your organization's critical change or challenge. What was the result, and what did you learn from the experience?
Question 2 Answer *
Question 3
What do you consider the three most important leadership characteristics for medical transport providers to thrive in the future? Please share how you embody those attributes and how these characteristics will help you advance the mission of AAMS, MFI, our community, and profession.
Question 3 Answer *
Question 4
As a board member, how will you contribute your passion and experience to the transport medicine community?
Question 4 Answer *
Question 5: In your own words, describe yourself... *

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