ASE Recorder Nominations - The Association for Surgical Education

Thank you for your interest in the 2020-2023 Recorder position for the Association for Surgical Education. Complete the form below to nominate a worthy candidate or yourself . The Recorder serves a three-year term on the Board of Directors. Any ASE member in good standing is eligible to apply.

Nominations close on Friday, April 3, 2020

Candidate Information
You may nominate yourself or another member.
Name*
First Last Degree (s)
Email*
Institution*
Candidate's position held on the ASE Board of Directors*
Year(s) candidate has serve on the ASE Board of Directors*
Submitted by*
- Candidate
- Nominator
Nominator Information
Name*
First Last Degree (s)
Email*
Institution*
Supporting Documents
Please describe in 500 words or less the candidate's contributions to the field of surgical education.*
Please describe in 500 words or less the candidate's leadership capacity and qualifications for the ASE Recorder Position.*
Please upload any other supporting documents you would like to include as a single PDF
Max. file size: 512 MB.
If this form is submitted by a Nominator and the Candidate's CV is not uploaded, ASE staff will contact the Candidate and request a copy.
Please upload your CV as a PDF*
Max. file size: 512 MB.

Candidate Information

Nominator Information

Supporting Documents