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

  • President-Elect
  • Secretary-Treasurer
  • Board of Directors
  • ADA Delegate

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

Home or office address?

Cell, office, or home phone?


Do you have a Board Certified specialty?


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

Select the position for which you are applying to run.



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

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.
"State":"WA"