Get National Officer Candidate Information Form - American ... - Asrt

This guide provides a detailed overview of how to accurately complete the NATIONAL OFFICER Candidate Information Form for the American Society of Radiologic Technologists. The instructions aim to assist users in navigating each section of the form with confidence and clarity.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by completing the personal profile section. Enter your desired office position (e.g., president-elect, vice president, or secretary-treasurer). Make sure to review Section 7 of the form to confirm your qualifications.
3. Provide your ASRT member number, full name (including your first, middle initial, and last name), and preferred correspondence address (choose between home or work). Fill in your street address, city, state, ZIP code, home phone number, and email.
4. In the professional profile section, list your medical credentials as you wish them to appear on the ballot. Similarly, provide your academic credentials, job title, department, and employer name with their respective addresses, contact numbers, and email.
5. Indicate your years of experience on not-for-profit boards and in medical imaging or radiation therapy.
6. In the disciplines or specialties section, provide a list of your certifications along with the relevant certification agency. Include detailed examples, such as radiography or mammography.
7. Attach the required supporting documents. Check to ensure you have included proof of your certification, employment verification, a copy of your current affiliate society membership card, and any proofs of continuing education.
8. Complete the section detailing your national and affiliate society activities, listing offices and appointments held. Provide years of service for clarity.
9. Certify that you meet the qualifications required to run for ASRT office by checking the criteria boxes and signing the form.
10. Finally, write your candidate position statement by answering the three specific questions on the form. Ensure your responses are concise, within the 150-word limit for each question, and check for spelling and grammatical accuracy.
11. Once you have completed the form and all sections are accurately filled, save your changes. You can then download, print, or share the form as needed.

Complete your NATIONAL OFFICER Candidate Information Form online today!