Get Trustee Candidate Application

The Trustee Candidate Application is a crucial document for individuals seeking to serve as trustees in healthcare organizations. This guide provides clear, step-by-step instructions on how to effectively complete the application online and ensure your submission is complete.

Follow the steps to successfully fill out the Trustee Candidate Application online.

1. Click ‘Get Form’ button to obtain the application form and open it for editing.
2. Begin by entering your full name in the designated field. Ensure that your name is clearly written as it should appear on official documents.
3. Fill out your preferred mailing address, including the city, state, and zip code. This information is critical for correspondence.
4. Provide your daytime phone number, ensuring it is a number where you can be readily reached.
5. Include your cell phone number. This is particularly useful for urgent communication.
6. Enter your email address, verifying that it is active and accessible to you.
7. If applicable, provide a fax number for any necessary correspondence.
8. List an alternate email if you have one, as this may help in communication.
9. Detail the hospitals or health systems where you currently serve as a board member, along with their corresponding city and state.
10. Indicate your current governing board title and the expiration date of your current term.
11. Answer whether you are eligible for reappointment to the board.
12. In the background section, select your gender and ethnicity from the provided options.
13. Provide your profession and the total number of years you have been a hospital trustee.
14. List current and past board positions you have held in the last five years.
15. Document your involvement in other hospital activities over the past five years.
16. Answer if you have previously served on any AHA committees or task forces, and if so, provide details of your appointments and years.
17. Describe your involvement with your state hospital association and the duration.
18. Outline your community involvement and any ties to other healthcare organizations outside your current hospital system.
19. Respond to the essay questions provided, limiting each response to 200 words or less.
20. Indicate your availability to attend at least three meetings per year by selecting yes or no.
21. Review the signature section, ensuring you understand if electronic signatures are required. If not, plan to print the last page to obtain necessary signatures.
22. Complete the submission section, confirming that your application is ready to be sent alongside a current bio or resume.
23. Follow the submission instructions, returning your completed application via email or fax by the specified deadline.
24. Finally, save any changes you made, and consider downloading a copy for your records.

Start filling out your Trustee Candidate Application online today to ensure your voice is heard in healthcare governance.