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Apply for WSDA/ADA Elected Positions

The following WSDA and ADA leadership positions will be up for election at the 2022 WSDA House of Delegates, held Sept. 22-24 in Bellevue. All terms will begin when the WSDA House adjourns on Sept. 24, 2022, except for ADA delegates, whose terms will begin on Jan. 1, 2023.

President-Elect (1 position)
Secretary-Treasurer (1 position)
Board of Directors (4 positions)
ADA Delegate (3 positions)

Application Deadline: June 24, 2022

Click each position below to learn more and see its requirements. For more information regarding any of these positions, please email info@wsda.org.

Position Details

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President-Elect
President-Elect
- Open Positions: 1
- Term: 1 year as President-Elect, 1 year as President, 1 year as Immediate Past President, 3 years as ADA Delegate (2023, 2024, 2025). Term will begin when the WSDA House adjourns on Sept. 24, 2022.
- Requirements: WSDA member. Must have been a member for the preceding five consecutive years.
Secretary-Treasurer
Secretary-Treasurer
- Open Positions: 1
- Term: 3 years as Secretary-Treasurer and 3 years as ADA Delegate (2023, 2024, 2025). Term will begin when the WSDA House adjourns on Sept. 24, 2022.
- Requirements: WSDA member. Must have been a member for the preceding five consecutive years.
Board of Directors
Board of Directors
- Open Positions: 4
- Term: 3 years. Term will begin when the WSDA House adjourns on Sept. 24, 2022.
- Requirements: WSDA member.
ADA Delegate
ADA Delegate
- Open Positions: 3
- Term: 3 years (2023, 2024, 2025). Term will begin on Jan. 1, 2023.
- Requirements: WSDA member.

WSDA House of Delegates

Sept. 22-24, 2022
Hyatt Regency Bellevue
Bellevue, WA

Candidates should plan to be present for elections at the 2022 WSDA House of Delegates.

Application

Personal Information

First Name

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Last Name

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ADA Number

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Address

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Home or office address?

Home
Office

Phone Number

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Cell, office, or home phone?

Cell
Office
Home

Do you have a Board Certified specialty?

Yes
No

If so, list specialty.

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Current Positions: List organization, position, and years served for up to 5 current positions.

Current Position 1

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Current Position 2

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Current Position 3

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Current Position 4

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Current Position 5

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Former Positions: List organization, position, and years served for up to 5 former positions.

Former Position 1

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Former Position 2

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Former Position 3

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Former Position 4

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Former Position 5

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Professional Affiliations: List up to 5 professional affiliations.

Professional Affiliation 1

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Professional Affiliation 2

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Professional Affiliation 3

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Professional Affiliation 4

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Professional Affiliation 5

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Education: List degree, university and year earned for degrees held.

Education 1

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Education 2

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Education 3

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Education 4

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Education 5

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Other: List organization, position, and years served for up to 5 additional affiliations.

Other Affiliation 1

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Other Affiliation 2

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Other Affiliation 3

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Other Affiliation 4

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Other Affiliation 5

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Office & Candidate Statement

Select the position for which you are applying to run.

President-Elect
Secretary-Treasurer
Board of Directors
ADA Delegate

Include your candidate statement. Limit 250 words.

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Your candidate statement will be published on wsda.org and in the WSDA News magazine.

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Candidate Photo

Please upload a high-resolution candidate photo for use on wsda.org and in the WSDA News magazine.

Please upload a high-quality headshot.

Conflict of Interest

Applicants must read WSDA's Conflict of Interest Policy prior to submission.

WSDA Conflict of Interest Policy

I have read and understand WSDA’s Conflict of Interest policy as stated in Bylaws IV.I (4.I) and Standing Rule 4.4.

Yes, I have read and understand the policy

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Apply for WSDA/ADA Elected Positions

Position Details

WSDA House of Delegates

Application

Personal Information

Current Positions: List organization, position, and years served for up to 5 current positions.

Former Positions: List organization, position, and years served for up to 5 former positions.

Professional Affiliations: List up to 5 professional affiliations.

Education: List degree, university and year earned for degrees held.

Other: List organization, position, and years served for up to 5 additional affiliations.

Office & Candidate Statement

Candidate Photo

Conflict of Interest

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