2025-2027 Board of Elections

052025_HIMSS Election_Banner

Name(Required)

First Last

Company Name(Required)

First

Phone

Email(Required)

Enter Email Confirm Email

HIMSS Member Number(Required)

Please enter your HIMSS Member number

Chapter Membership Attestation(Required)

I attest to being a current Delaware Valley HIMSS chapter member and have attended at least one chapter function in the last year.

Chapter Board Membership Attestation(Required)

I attest that I am not currently serving on the board of directors of another HIMSS chapter.

HIMSS National Board Attestation(Required)

I attest that I am not currently serving on the national HIMSS board of directors.

Please provide a professional bio and statement on why you are pursuing DVHIMSS board membership. This statement will be presented to chapter membership during the election.

Please upload a headshot for use in the election materials.

Max. file size: 8 MB.

Eligibility(Required)

I meet all eligibility requirements to serve on the DVHIMSS Board of Directors.

By checking this box you are attesting that you meet all eligibility requirements to be a member of the Board of Directors for the Delaware Valley Chapter of HIMSS.

CAPTCHA