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USPATH Board of Director Application
Name *
Your answer
Specialty/Designation/Affiliation *
Your answer
Degree *
Your answer
Please Indicate # of years as a Full Member of WPATH *
Your answer
Do you support the mission of WPATH? As an international multidisciplinary professional organization, the mission of WPATH is to promote evidence-based care, education, research, advocacy, public policy and respect in transgender health. *
Do you support the current Standards of Care (SOC7) and evidence-based practice? *
USPATH Board of Directors shall act in accordance with the ethical standards set by professional specialty boards or other professional societies where they hold certification or membership. Are you currently under disciplinary action by your College or Professional Society? *
If you answered "yes" to the question above, please provide a summary of the allegation.
Your answer
Describe your previous board experience or an understanding of the roles and responsibilities of board members. *
Your answer
How would your competency, skills and experience complement the USPATH Board of Directors position(s)? *
Your answer
Are you able to attend meetings regularly (both by telephone or in-person)? *
Are you able to dedicate approximately 20 hours per month to board duties? *
Are you able to commit to a 2-3-year term on the USPATH Board of Directors? *
Do you have any conflicts of interest to declare? That may impact your ability to support WPATH/USPATH's mission. *
If you answered yes or maybe to the question above, please explain below.
Your answer
Please comment on your commitment to diversity and inclusiveness. *
Your answer
Please comment on your approach to creating and maintaining a collegial working relationship with other board members. *
Your answer
Please comment on your commitment to consensus building. *
Your answer
Please include a personal statement outlining your background and vision for USPATH (max 500 words). *
Your answer
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