WHIMA Candidate Bio Submission Form

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About the Position

Candidate for*

Position Statement

Demographic Information

Please complete the demographic information below.
Name*
Address*

Video

Either add a link to your video or upload the video directly.
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Max. file size: 256 MB.

Photo

Accepted file types: bmp, jpg, jpeg, gif, png, Max. file size: 256 MB.

Employment

Current Employment
Provide job title and company name in reverse chronological sequence of positions held the last 10 years.

Education

Show degrees earned, dates, names of college or university.

Volunteer Activities

List any additional information that would be of value or assist in supporting your candidacy.