FSOSW Leadership Interest & Nomination Form

This form may be used for self-nominations or to nominate another FSOSW member for leadership consideration.

FSOSW Leadership Interest & Nomination Form
Position(s) of Interest (Select all that apply):
If not selected for the position above, would the nominee be interested in consideration for other leadership opportunities within FSOSW?
Is the nominee a current FSOSW member?
Type of Nomination
Certain positions require prior FSOSW leadership experience. Please describe you or your colleague’s FSOSW experience.
Indicate other leadership experience relevant to the position sought including local, state, or national affiliations.
This information will inform the membership about you and your vision of the contributions you intend to make in your role as an elected FSOSW officer.

Maximum file size: 20MB

Maximum file size: 52.43MB

I understand that FSOSW leadership positions require active participation in meetings, committee work, and organizational initiatives throughout the term of service.
Do you have any professional, financial, or organizational relationships that could create a potential conflict of interest with FSOSW leadership responsibilities?

Nomination Submitted By

Florida Society of Oncology Social Workers