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ASH RC Board of Directors Call for Nominations

Questions marked with a * are required

Contact Information:

First Name

Last Name

Email Address

Telephone Number

International Telephone Number

Address Line 1

Address Line 2

City

Zip Code/International Postal Code

Country

Current Place of Employment (if applicable)

Referred by (optional):

Areas of Expertise (select all that is applicable):

Clinical and Data Informatics

Diversity, Equity, and Inclusion

Entrepreneurialism

Finance

Health Systems

Industry

Brief Statement of Interest (100 words or less please explain why you are interested in serving on the ASH RC Board and how you think you could support advancing the goals and objectives of ASH RC.)

www.ashresearchcollaborative.org/s/

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