2019 Ballot and Proxy

Voting Member Information

Name*

Please enter your complete name

Class Year*

Please enter your School of Medicine class year

Email*

Board Officer Nominees: New Officers

President: Thomas W. Eppes, Jr., MD ’78*

For
Against

President-Elect: Kevan E. VanLandingham, MD ’85*

For
Against

Secretary: Joel E. Bruce, MD ’87*

For
Against

Board Officer Nominees: Re-Appointments

Treasurer: Meg G. Keeley, MD ’92*

For
Against

Board Member Nominees: New Members

Asha N. Chesnutt, MD ‘88*

For
Against

Anastasia L. Williams, MD ’98*

For
Against

Write In Vote

Optional (must vote against one of the candidates above to submit a write in candidate)

Board Member Nominees: Re-appointments

Bobby Chhabra, MD ’95*

For
Against

Margaret R. Douglas, MD ’83*

For
Against

Nora G. Kern, MD ’08*

For
Against

Peter W. K. Wong, MD ’92*

For
Against

Submit Vote by Proxy

Electronic Signature*

I agree

By selecting I agree above, you are agreeing that you are the alumnus/alumna indicated at the top of this form and that you agree your vote as listed on this form may be cast by proxy.

Resources For...

Students

Alumni

Housestaff

Faculty