2021 Ballot and Proxy

Voting Member Information

Name*

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Class Year*

Please enter your School of Medicine class year

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Board Officer Nominees: New Officers

Treasurer: J. Cameron Muir, MD ‘93, FAAHPM, HMD-C*

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Against

Board Officer Nominees: Re-Appointments

President: Kevan E. VanLandingham, MD ‘85*

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President-Elect: Joel E. Bruce, MD ’87*

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Secretary: Nora G. Kern, MD ’08*

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Board Member Nominees: New Members

Terrance P. Johns, MD ’89*

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Against

Adrian L. Preston, MD ’96*

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Against

Danielle J. Carroll, MD ’16*

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Write In Vote

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

Board Member Nominees: Re-appointments

Meg G. Keeley, MD ’92*

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Against

Susan C. Modesitt, MD ’95*

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Submit Vote by Proxy

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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.

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