Reference Committee F Volunteer Form (A-25)

REFERENCE COMMITTEE F VOLUNTEER FORM
Reference Committee F traditionally deals with AMA’s organizational and fiscal policies, the AMA’s annual plan and budget, business matters and products, long-range planning considerations, governance issues and membership issues including dues recommendations and member benefits.

Members of Reference Committee F come to Chicago to meet with the Board’s Finance Committee in April and again in September. They also meet with the Board at each HOD meeting, generally on the morning of the opening session.

Reference Committee F members serve for two years (three years if appointed chair). Appointments to this committee are made each year after the Annual Meeting.

If you are currently serving on an AMA council, please do not apply. This will allow for leadership opportunities for others.
I acknowledge that I will be available for a virtual meeting on the Saturday prior to the Opening Session of each HOD meeting*

Yes
Name*

First NameLast Name
Email*
example@example.com
City*
State*
Mobile Number*

Area CodePhone Number
Specialty*
Please select one*

DelegateAlternate DelegateRegional Medical Student DelegateRegional Medical Student Alternate DelegateSectional Resident DelegateSectional Resident Alternate Delegate
Name of the society or section you represent in the House of Delegates*
Previous AMA HOD Committee Service
Please list ONLY AMA HOD service and indicate if you chaired the committee.
Statement of Interest
Not to exceed 150 words.
Headshot for Pictorial Directory (optional)

Browse Files
Upload a headshot (.png, .jpg, or .jpeg) which will be added to the AMA's Pictorial Directory Cancelof
If you have questions or require additional information please contact Patti Wargo, Office of House of Delegates Affairs at patti.wargo@ama-assn.org or 312-464-4463.
Should be Empty:

REFERENCE COMMITTEE F VOLUNTEER FORM