2023 Program Committee Nominations - The Association for Surgical Education

Complete the form below to nominate a worthy candidate or yourself to serve on the Association for Surgical Education Program Committee.

Each year the President appoints a member-at-large to serve a four-year term. In the third year of this four year term, the member-at-large serves as the Vice-Chair of the Program Committee. In the fourth year, the member serves as the Chair of the Committee.

The Program Committee, with staff and administrative support, and in collaboration with APDS, is responsible for the ASE Annual Meeting at Surgical Education Week. The Committee determines the educational program, reviews and ranks all abstracts and workshops, and participates in the planning of ancillary activities and social events.

Nominations close on March 3, 2023.

Program Committee Nomination

Candidate Information
You may nominate yourself or another member
Name:*
First Last Degree(s)
Candidate Email*
Title*
Institution*
Submitted by*
- Candidate
- Nominator
Nominator Information
Name*
First Last Suffix
Nominator Email*
Title*
Institution*
Supporting Documents
Please describe the candidate's past service to the ASE/ASE Foundation in 500 words or less.*
Please describe the candidate's qualifications and interest in this position in 500 words or less.*
Please upload CV as a PDF file*
Max. file size: 64 MB.

Program Committee Nomination

Candidate Information

Nominator Information

Supporting Documents