WDS Nominating Committee - Candidate Selection Criteria & Candidate Agreement Form

DIRECT LINKS:

Board Member Candidate Selection Criteria
Board Member Candidate Agreement Form
Board Member Disclosure Statement of Potential Conflict of Interest

WDS Nominating Committee
Candidate Selection Criteria

All nominees for elective office must be members in good standing.

Candidates must be willing to commit to attending two face-to-face board meetings per year including but not limited to meetings held in conjunction with the AAD annual meeting and the WDS annual meeting, plus a minimum of two board conference calls per year. Candidates who serve on the Executive Committee must also be willing to commit to participating in conference calls once a month.
Candidates who are serving on other medical specialty boards should be considered with respect to their time commitment to the other organization.
Candidates are expected to be ethical, strategic thinkers who understand the organization’s volunteer-staff partnership and the committee process.
Candidates should be involved in WDS committees.
Candidates should have both experience and proven ability to express opinion and to engage constructively in discussion and debate; to delegate responsibilities to others; and to place the interests of WDS above personal, state, or regional concerns.
Candidates being considered for Secretary or Treasurer should have served at least one (1) year on the Board of Directors.
Candidates for Vice President must have had at least one (1) year, but preferably one full term, of prior experience on the Board of Directors.
Candidates being considered for board or officer positions should reflect diversity in gender, race, geographical location and training/practice background.

Adopted November 2005

WDS Nominating Committee
Candidate Agreement Form

I hereby acknowledge that:

I understand the requirements of the position and the general terms under which I will be asked to serve, if elected
Except for extenuating circumstances, I will attend each and every required meeting, held via teleconference or in person.
I will prepare myself sufficiently for each and every meeting by thoroughly reading the background material that is provided.
I have read and will adhere to the Board policies and expectations.
While participating in meetings as an officer or director of the Society, my first allegiance and priority and my fiduciary responsibility and liability are to the Women’s Dermatologic Society (WDS) and to its members whom I will be representing.
I will disclose all conflicts of interest as per the guidelines and policy established by the WDS.

Having acknowledged the above, I agree to serve WDS if elected by the WDS membership. I acknowledge the significant commitment of time required in attending at least two face-to-face Board of Directors meetings each year, the Leadership Retreat, as well as time required to discharge my duties between Board Meetings.

Women's Dermatologic Society
Disclosure Statement of Potential Conflict of Interest

By an Officer; Director; Chair of a Committee or Task Force; Candidates for Office or for the Board of Directors; Editors of the Women's Dermatologic Society Newsletter; or Senior Staff Member

I occupy a position of trust and that I am expected to act at all times in good faith and without bias or favor to outside interests. Whenever my outside interests or other responsibilities potentially conflict with my duty to the Society, I will declare these potential conflicts and will act in such a manner as to avoid even the appearance of using my position to advance any personal interest or the interest of any individual or entity with whom I have a significant relationship. In particular, I will not act in a way inconsistent with the purposes and interest of the Society.

Describe any possible conflict of interests:

Industry Relationships (if more than 6 please submit additional forms):

COMPANY NAME	TYPE OF RELATIONSHIP	NATURE OF COMPENSATION

Industry Relationships
In addition to the above items, please describe any other special circumstances.

I acknowledge my continuing obligation to report to the Secretary-Treasurer of the Society, promptly and in writing, any change in the nature or setting of my professional activities or any possible conflict of interest, i.e., conflict between, on the one hand, the interests of the Society and, on the other, my personal interests or those of a related party, which comes to my attention in the future. I will also verbally acknowledge any changes to this written disclosure at the time of my participation in an Society meeting or event. I attest that this is a complete and true disclosure and, that if found to be otherwise, would be grounds for discipline.

Name:

eMail:

CONFIDENTIALITY:

I agree to keep confidential any business matters or discussions that take place during meetings of the Board of Directors, executive sessions, or private meetings where matters of sensitive nature may be addressed.

Signature:

YES, I acknowledge the above. | NO, I do not acknowledge the above.

Date: