Apply for WSDA/ADA Elected Positions

The following WSDA and ADA leadership positions will be up for election at the 2023 WSDA House of Delegates, held Sept. 21-23 in Seattle. All terms will begin when the WSDA House adjourns on Sept. 23, 2023, except for ADA delegates, whose terms will begin on Jan. 1, 2024.

Apply by Friday, June 23.

For more information regarding any of the following positions, please email info@wsda.org.

Position Details

President-Elect

Open Position(s): 1
Term: 1 year as president-elect, 1 year as president, 1 year as immediate past president, 3 years as ADA delegate (2024, 2025, 2026). Term will begin when the WSDA House adjourns on Sept. 23, 2023.
Requirements: WSDA member. Must have been a member for the preceding five consecutive years.

WSDA Board of Directors

Open Position(s): 4
Term: 3 years. Term will begin when the WSDA House adjourns on Sept. 23, 2023.
Requirements: WSDA member.

ADA Delegate

Open Position(s): 3
Term: 3 years (2024, 2025 2026). Term will begin on Jan. 1, 2024.
Requirements: WSDA member.

WSDA House of Delegates

Sept. 21-23, 2023
Hyatt at Olive 8
Seattle, WA

Candidates should plan to be present for elections at the 2023 WSDA House of Delegates.

Application

Personal Information

First Name

Last Name

ADA Number

Email Address

Address

Home or office address?

Home
Office

Phone Number

Cell, office, or home phone?

Cell
Office
Home

Do you have a Board Certified specialty?

Yes
No

If so, list specialty.

Current Positions (Limit 5)

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

Former Positions (Limit 5)

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

Professional Affiliations (Limit 5)

List up to 5 professional affiliations.

Education

List degree, university and year earned for degrees held.

Other (Limit 5)

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

Office & Candidate Statement

Select the office you will be running for.

Include your candidate statement. Limit 250 words.

Candidate Photo

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