Board Nomination Form - Texas Healthcare Trustees

Those interested in serving on the Texas Healthcare Trustees’ Board of Directors are encouraged to fill out the nomination form. We will contact you with further information. The THT board meets three times a year. In addition to attending the board meetings, board members are asked to serve on at least one committee. Most committees meet via conference call. THT does not pay travel expenses for board members, normally those are paid by the hospital/organization. For additional questions, contact 512/465-1015.

Nominee:(Required)

Title:(Required)

Company Name (if applicable):

Mailing Address:

City:

State:

Zip:

Phone:

Fax:

Mobile Phone:

Email:(Required)

Hospital Name:

Please feel free to submit a bio or resume that includes the following or complete the form below:

Attach Files:

Drop files here or

Max. file size: 50 MB.

Background:

Leadership:

Commitment:

I understand THT meets 3-4 times per year for board meetings that I would be expected to attend if selected.

I understand that I would be expected to serve on at least one committee (most meet via conference call).

I understand that I would assist in developing and finding resources for the organization.

I recognize that travel expenses are not paid by THT and most THT board expenses are paid by the member hospital.

My CEO is aware and supports my service to THT.

Placing your initials in the box below represents your signature:

Nominee's Signature:(Required)

Date:(Required)

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