AGM 2015 - Board candidates

AGM 2015 - Board nomination questionnaire

Title

First Name (Mandatory)

Last Name (Mandatory)

Name (in English) of the organisation you are representing for the election (Mandatory)

Job title within the above organisation (Mandatory)

Office phone number

Mobile phone number

Email (Mandatory)

What contribution do you intend to make to EPF and the patients’ community as a member of the Board? (No more than 10 lines) (Mandatory)

What personal and professional strengths will you bring to EPF and the patients’ community? (No more than 10 lines) (Mandatory)

Please provide some details on relevant personal and professional experience which you consider to be an asset for EPF and the patients’ community? (no more than 10 lines) (Mandatory)

What is/are your domain(s) of expertise? (Please tick the relevant domain. Multiple selections possible) (Mandatory)

Strategic Vision
Governance and Leadership
Policy Knowledge
Advocacy Skills
Public Relations
Communications
Financial Management
Management & Operations
Human Resources
Members Relation
Other(s)

If other please specify here: (Mandatory)

How your election as EPF board member would benefit your organisation? (no more than 10 lines) (Mandatory)

A thank you message should be seen following the submission of this form. If you don't see such a message this means that one of the field is not filled. Please check. Should you encounter any problems, please contact event organisers at veronique.tarasovici@eu-patient.eu

AGM 2015 - Board candidates

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