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2020 Biographical Information Form for AMIA Board Election

If you are running for a board position, please complete the following information and upload your photograph (TIFF or JPEG format, 150 dpi or less). As you submit information, click the “save draft” button from time to time so you do not lose information that you already inputted.  Your biographical information and photo will appear on AMIA’s online election ballot if you are selected by the nominating committee. You may request to view and edit your public ballot listing before the elections open.
All AMIA leaders have an obligation to make decisions and conduct affairs of the organization based, first and foremost, upon the desire to promote AMIA and its mission. The term “leaders” refers to three groups: (1) AMIA employees; (2) members of the Board of Directors, committee chairs, task force chairs, and general committee members when their particular committees are empowered or charged with making AMIA policy or ethics recommendations (such individuals are also referred to as “agents”); and (3) committee members (excluding for instance the Policy and Ethics committees’ members because they are covered above as agents) and elected working group leaders.  Individuals who run in any AMIA election are required to complete a COI form prior to the election.

The deadline for submission of this information form and your photograph is June 30, 2020.

This form is only for the board election. If you are running for a working group position, click here.