Chapter Board Open Positions | Maryland Chapter of ACEP

2025 Chapter Board of Director Open Positions Submission Form

The Maryland ACEP Chapter seeks motivated dedicated emergency physicians for open Chapter Board positions. Join our mission to shape the future of emergency medicine, influence policy, and make a lasting impact! As a member, you can contribute to the mission of our chapter.

Personal Information

Name(Required)

First Middle Last Credentials

Email(Required)

Enter Email Confirm Email

Cell Phone(Required)

This number will not be shared with anyone outside of the Maryland ACEP Chapter Board or Chapter Executive Director.

Preferred Contact Method(Required)

Are you a member of the Maryland ACEP Chapter in good standing?(Required)

Hospital Affiliation

Name of Hospital(Required)

Address of Hospital(Required)

City State / Province / Region

What is your current role?(Required)

Position of Interest

Which open position are you interested in running for?(Required)

Terms for these open positions are two years and three consecutive two-year terms.

Councillor

Alternate Councillor

Please summarize in a max of 250 words brief statement of interest outlining your motivation and qualifications.(Required)

Do you agree to attend the 2025 & 2026 Council Meeting?(Required)

2025 Council Meeting in Salt Lake City, Utah and 2026 Council Meeting in Chicago, Illinois (https://www.acep.org/how-we-serve/council)

Do you agree attend the 2025 Pre-Council Summit that is held in-person at MedChi in Annapolis?(Required)

This event is hosted by the Maryland ACEP Chapter and is held every year prior to ACEP's Council Meeting (https://www.mdacep.org/chapter-events/)

Headshot(Required)

Please upload a headshot

Accepted file types: jpg, jpeg, gif, Max. file size: 50 MB.

Curriculum Vitae(Required)

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Questions, Comments, and Concerns

Please use this section to provide any additional information relevant to your interest in the open Chapter Board positions (if necessary).