NCSMA Nomination Form.pdf

the nomination process for National Delegate (NCSMA) positions within a medical association, emphasizing eligibility criteria and required endorsements. Key points include:

Nominee Information:

AAMA ID#, address, contact details
Occupational duties and employer information (for employed nominees)

Eligibility Requirements:

Membership Status: Active or associate member of NCSMA, with dues paid by December 31st.
Component Chapter Affiliation: If a chapter member, prior service as a chapter officer.
Member-at-Large: Two different NCSMA committee terms in the last five years. Prior office holding within NCSMA for delegate nominations.

Endorsement:

Local chapter endorsement (for chapter members) or support from two NCSMA officers (for member-at-large).

Signature Requirements:

Nominee consent and signatures from relevant NCSMA officers or chapter officials, depending on nominee status.

Leadership Demonstrated:

List of activities showcasing leadership within chapters, state, national, or other platforms.

Submission:

* Completed forms submitted to the Chair by mail, email, or fax, reviewed by the Nominating Committee for eligibility. Late nominations (after the deadline but before House of Delegates opening) may be considered from the floor.