AMA-MSS Regional Delegate Nomination Form Logo

  • AMA-MSS Regional Delegate Nomination Form

  • Welcome to the electronic application for AMA-MSS Regional Delegate 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 (No more than 3 pages in length)
    5. Signed Letter of Endorsement from State or Specialty Society and Dean (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 MSS@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.

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  • AMA-MSS application

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  • Review the AMA-MSS Internal Operating Procedures. 

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  • Time commitment

    The elected members will be expected to participate in the following:

     

    • Fully attend the A-26 (June 5-10, 2026) and I-26 (November 6-10, 2026) HOD meetings.
    • Attend as much of the A-26 (June 4-5, 2026) and I-26 (November 5-6, 2026) MSS Assembly meetings as feasible.
    • Actively participate in the MSS Resolution Review process, which includes providing feedback on MSS resolutions and mentoring newer members. (Major time commitments during February/March/April 2026 and August/September 2026; 5 to 10 hours per month)
    • Actively participate in the HOD Resolution Review process. (Major time commitments during May 2026 and October 2026; 15 to 20 hours per month)
    • Review responsibilities are assigned and fulfilled on a quick turnaround (within 1wk) due to the logistics of the policy process. We understand that students may not always be available. You will be expected to communicate promptly with the Section Delegates and other leadership regarding your availability as it changes.
    • Provide testimony per MSS Caucus discussion on the Virtual Reference Committee and during in-person Reference Committee, as well as to the HOD as necessary.
    • Advocate for MSS priorities with state societies, specialty societies, and other AMA Sections.

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  • 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 before uploading your files.
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  • Diversity and Demographics

    In order to attract the most diverse pool of candidates possible, we request optional self-reported demographic information and an optional diversity statement.

  • Use of self-reported demographic information provided in this application

    For leadership positions elected by Section membership (e.g., Section Governing Council), your individually identifiable information will not be shared beyond Section leadership, which will use candidate demographic information in aggregate form to assess the diversity of the Section’s applicant pool.

    For leadership positions appointed by the Section Governing Council (e.g., temporarily filling a vacancy on a Governing Council), your individually identifiable information will be used for internal deliberations about candidates and will also be used in aggregate form to assess the diversity of the Section’s applicant pool.

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  • 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.

     

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  • By submitting this form, I agree that my name and email address may be shared with Medical Student Section (MSS) Governing Council members, MSS region leaders, and other AMA student leaders for engagement and recruitment support. 

    All MSS Leaders will be added to a GroupMe for communication between student leaders and the Medical Student Section. For questions (or to opt out), please email MSS@ama-assn.org or the MSS Section Director.

    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 MSS@ama-assn.org.  

     

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