AMA Sections Nomination/Application Form

Thank you for your interest in a leadership position with the AMA Member Sections. At this time, all Governing Council application periods are closed. We encourage you to return to this application when the next period opens.

If you have any questions, please email: AMASections@ama-assn.org.
AMA Sections Electronic Application for Governing Council Positions
Welcome to the electronic application for AMA Section Governing Council positions. This form replaces the traditional paper application. Note that except where otherwise stated, information that you provide via this application will be made available online to members of your Section and other AMA Members exactly as you submitted it - AMA Staff cannot alter your application to correct spelling or other errors.

Before you begin, consider preparing / locating the following application pieces:
1. A statement of interest (no more than 250 words)
2. A professional, high resolution headshot (optional)
3. Letters of endorsement / support (optional)
4. Curriculum vitae (A requirement for AMA-WPS and AMA-YPS, but optional for all other Sections. No more than 3 pages in length.)
5. For AMA-MSS applicants only: Signed Deans letter of endorsement (download from here before obtaining signature)
If you need to save your application and return to it at a later time, click the "Save" button at the bottom of the page. You will then receive an email with a link to return to your application via the email address you provided.

If you have any questions, please email AMASections@ama-assn.org.

Applicant information

Of the information collected in this section of the application, only your name, credentials, and pronouns (if any selected) will be made available online for review by members of your Section and other AMA Members.
Name*

First NameMiddle NameLast Name
Credentials
What are your pronouns? Select all that apply.

He/HimShe/HerThey/ThemRather not sayOther
Physical mailing address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of birth*

MonthDayYear
Email*
example@example.com
Primary phone number*

Area CodePhone Number

AMA-APS application
How many AMA-APS meetings have you attended?
What is your current involvement in medical education?*
250 words maximum

AMA-IPPS Application
Health system / organization that you represent*
Number of physicians in system*
Numerical digits only
Your medical specialty*

AMA-MSS application
Name of Medical School*
Expected date of graduation*

MonthDayYear
Date
Review the AMA-MSS Internal Operating Procedures.
I have read and agree to abide by all campaign rules as outlined in the MSS Internal Operating Procedures.*

Yes
Upload Dean's letter of endorsement*

Browse Files

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If not downloaded before, you can access the Dean's letter of endorsement here.
Time commitment

The elected members will be expected to fully attend the following meetings / events:
- Section Leadership Retreat – Chicago, IL, August/September 2024
- Interim 2024 – Orlando, FL, All Governing Council members must attend November 7-8, 2024. The Chair, Section Delegate, and Section Alt. Delegate must attend Nov 7-12, 2024.
- Medical Student Advocacy Conference (MAC) March, 2025 – Washington, DC.
- Annual 2025 – Chicago, IL, All Governing Council members must attend June 5-6, 2025. The Chair, Section Delegate, Section Alt. Delegate must attend June 5-11, 2025.
I have discussed the time commitment for this position and made appropriate arrangements with my Dean*

YesNo
In case of my election, I would like my Dean to receive a congratulatory letter informing them of my new position*

YesNo

AMA-OMSS Application
How many clinical hours per week do you work?*

AMA-RFS application
Program name*
Expected program completion date*

MonthDayYear
Date
Review the AMA-RFS Internal Operating Procedures.
I have read and agree to abide by all campaign rules as outlined in the RFS Internal Operating Procedures.

Yes
Review the time commitment requirements for GC positions.
I have discussed the time commitment for this position and made appropriate arrangements with my Program Director*

YesNo
Please provide your Program Director's information for the congratulatory letter to be sent if you are selected for the position.

First NameLast Name
Credentials
Title
Email address: example@example.com
In case of my election, I would like my Program Director to receive a congratulatory letter informing them of my new position*

YesNo

AMA-SPS application
There are two requirements to serve as the Delegate or Alternate Delegate for the AMA-SPS. In the space below, please explain how you meet both requirements.
- Requirement #1: He or she has demonstrated experience in organized medicine by having held a leadership position(s) at the local, state, specialty society or national level.
- Requirement #2: The candidate must also have attended at least two AMA-HOD meetings and had prior experience with HOD Reference Committees leading up to the meeting.
250 words max
There are two requirements to serve as the Officer At-large for the AMA-SPS. In the space below, please explain how you meet both requirements.
- Requirement #1: He or she has demonstrated experience in organized medicine by having held a leadership position(s) at the local, state, specialty society or national level.
- Requirement #2: The candidate must have attended an AMA meeting or had prior experience with the AMA’s House of Delegates.
250 words max

AMA-WPS application
Are you an AMA member?*

YesNo
Are you a member of the AMA House of Delegates?*

YesNo
Do you agree to serve in the position for which you are applying?*

YesNo
Please provide a statement of interest that describes what you are looking to accomplish in this position and highlights current/previous leadership experiences that are relevant to this position (250 words max)*

250 words max0/250
Professional headshot (optional)

Browse Files
.JPEG or .PNG only Cancelof
Endorsements, letters of support, and curriculum vitae

These files will be published online as part of your application for review by AMA Members. Please remove any personal contact information or private details you do not wish to be shared.
List endorsing organizations (optional)
Applicants have the option, but are not required, to upload up to two letters of support from endorsing organizations. Upload letters of support from endorsing organizations (optional).

Browse Files

Cancelof
Upload curriculum vitae *

Browse Files
Required for AMA-WPS positions. 3 pages max. If submitting a longer CV, only the first 3 pages will be published. Cancelof

AMA-YPS application
Are you an AMA member?*

YesNo
Are you a member of the AMA House of Delegates?*

YesNo
Do you agree to serve in the position for which you are applying?*

YesNo
Please provide a statement of interest that describes what you are looking to accomplish in this position and highlights current/previous leadership experiences that are relevant to this position (250 words max)*

250 words max0/250
Professional headshot (optional)

Browse Files
.JPEG or .PNG only Cancelof
Endorsements, letters of support, and curriculum vitae

These files will be published online as part of your application for review by AMA Members. Please remove any personal contact information or private details you do not wish to be shared.
List endorsing organizations (optional)
Applicants have the option, but are not required, to upload up to two letters of support from endorsing organizations. Upload letters of support from endorsing organizations (optional).

Browse Files

Cancelof
Upload curriculum vitae *

Browse Files
Required for AMA-YPS positions. 3 pages max. If submitting a longer CV, only the first 3 pages will be published. Cancelof

Please continue
Are you an AMA member?*

YesNo
Are you a member of the AMA House of Delegates?*

YesNo
Do you agree to serve in the position for which you are applying?*

YesNo
Please provide a statement of interest that describes what you are looking to accomplish in this position and highlights current/previous leadership experiences that are relevant to this position (250 words max)*

up to 250 words0/250
Professional headshot (optional)

Browse Files
.JPEG or .PNG only Cancelof

Endorsements, letters of support, and curriculum vitae

These files will be published online as part of your application for review by AMA Members. Please remove any personal contact information or private details you do not wish to be shared.
List endorsing organizations (optional)
Applicants have the option, but are not required, to upload up to two letters of support from endorsing organizations. Upload letters of support from endorsing organizations (optional).

Browse Files

Cancelof
Upload curriculum vitae (optional)

Browse Files
3 pages max. If submitting a longer CV, only the first 3 pages will be published. Cancelof

AMA Conflict of Interest Policy
Please review carefully the AMA's Conflict of Interest Policy.

All nominees/applicants for Section leadership positions must complete a conflict of interest disclosure. Upon the AMA’s receipt of your nomination/application, an email with details on how to access the disclosure form will be sent. Your nomination materials will not be considered complete until your disclosure form has been completed and returned.

If you have questions about the AMA’s Conflict of Interest Policy, the AMA's Office of General Counsel (ogc@ama-assn.org) is available to provide guidance.

Please confirm, by signing below, that you have reviewed the AMA's Conflict of Interest Policy and Conflict of Interest Principles and understand the guidance provided above.
Signature (draw your signature in the space below)*

Clear
Date

MonthDayYear

Click "submit" below to finalize and transmit your application. You will receive an email confirmation with a copy of your application and all submitted documents or files.

Please direct any questions to AMASections@ama-assn.org.
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AMA Sections Electronic Application for Governing Council Positions

Applicant information

Please continue

SECTION POSITIONS TO SHOW PER "SECTIONS" DROPDOWN SELECTION

END SECTION POSITIONS TO SHOW PER "SECTIONS" DROPDOWN SELECTION

AMA-APS application

AMA-IPPS Application

AMA-MSS application

AMA-OMSS Application

AMA-RFS application

AMA-SPS application

AMA-WPS application

Endorsements, letters of support, and curriculum vitae

AMA-YPS application

Endorsements, letters of support, and curriculum vitae

Please continue

Endorsements, letters of support, and curriculum vitae

Please select "Next" to continue

AMA Conflict of Interest Policy

AMA Sections Electronic Application for Governing Council Positions

Applicant information

Please continue

*SECTION POSITIONS TO SHOW PER "SECTIONS" DROPDOWN SELECTION*

*END SECTION POSITIONS TO SHOW PER "SECTIONS" DROPDOWN SELECTION*

AMA-APS application

AMA-IPPS Application

AMA-MSS application

AMA-OMSS Application

AMA-RFS application

AMA-SPS application

AMA-WPS application

Endorsements, letters of support, and curriculum vitae

AMA-YPS application

Endorsements, letters of support, and curriculum vitae

Please continue

Endorsements, letters of support, and curriculum vitae

Please select "Next" to continue

AMA Conflict of Interest Policy

SECTION POSITIONS TO SHOW PER "SECTIONS" DROPDOWN SELECTION

END SECTION POSITIONS TO SHOW PER "SECTIONS" DROPDOWN SELECTION