TEXAS SOCIETY OF MEDICAL ASSISTANTS AAMA DELEGATE
AND ALTERNATE NOMINATION AND CONSENT FORM

IMPORTANT: PLEASE READ

  • Requirements to apply for TSMA Executive Board – must have been a current member of the AAMA/TSMA for a minimum of 2 years and served on a committee for at least one year and desire to help make the profession and organization better
  • Requirements to apply for TSMA Committee Chair/Member – must be a current member of the AAMA/TSMA, desire to elevate our committees, our profession and TSMA organization
  • Requirements to apply for TSMA Delegate to AAMA National Conference-must be a current member of AAMA/TSMA with dues paid by 12/31 of the preceding year (i.e. to serve in 2025 must paid dues by 12/31/24); must be able to attend upcoming AAMA Conference for entirety (1st day – President Banquet)  and understand that all meetings attended will be at the discretion of TSMA President

*are Required Fields

Delegate And Alternate Nomination And Consent Form
I wish to be consider nominated and do hereby consent to serve if elected as:
I assert that I will fulfill my duties as stated below. At this current time there is nothing preventing me from serving in this honored position (i.e. good health, personal affairs, job obligations). I understand that should I not be able to fulfill my role as a delegate and if I have incurred expenses, it is my responsibility to seek out refund of those expenses from appropriate vendor and that TSMA is not responsible for those expenses incurred. If I have received any reimbursements from TSMA for conference expenses including travel and registration, that I will be responsible for repayment to TSMA.
Please type your full name to represent your signature.

I understand that my duties as a delegate/alternate delegate will include (Please check each one.)

Please check all.
Leadership Roles: (includes offices held, chairmanships, committee memberships)

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