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Convention Committees Application

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Note: These are nonfunded positions. You are responsible for all travel and expenses to the Interim or Annual meeting.

Application deadline: Sept. 25, 2008

The information you provide below is solely for the AMA's internal use and will not be reused or sold for any commercial purpose without your permission.

Name:

Mailing address:

City:

State:

ZIP Code:

Home Phone:

Cell Phone:

Pager:

E-mail:

Your e-mail address will not be shared, sold, traded, exchanged or rented. See our Privacy Policy for more information.

Program:

Expected Completion Date:

Please list the dates of any AMA-RFS Annual and Interim Meetings you have attended:

Please list, in the order of your preference, the Convention Committees on which you would like to serve  (see descriptions):

1.
2.
3.
4.
5.

Please list any AMA-RFS positions have you applied to in the past.

Check here if you are willing to be considered for committees other than the ones you applied for.

Note: You must be an AMA member to apply.

Application Deadline: Sept. 25, 2008
Please submit this application online by clicking "Submit form" below. In addition, please e-mail an updated curriculum vitae and personal statement to rfs@ama-assn.org.

Last updated: Aug 07, 2008
Content provided by: RFS