Resident Fellow Section TMA-BCC Application

Resident Fellow Section TMA-BCC Application
To apply for a resident representative position on a Texas Medical Association board, council, or committee, complete this application by April 15.

Appointments last one year, and you must re-apply if you wish to continue serving in the position.

A TEXPAC appointment requires TEXPAC membership ($40 for residents).

Responsibilities of Resident Representatives/Alternates to TMA Boards, Councils, and Committees

1.      Resident representatives/alternates are required to attend all regular meetings of the board, council or committee to which they are appointed. Most meet virtually and in person throughout the year. The TMA staff contact will send you additional information regarding your meeting schedule and agendas.

2.      Resident representatives/alternates are asked to review the agenda sent prior to the meeting to be prepared to discuss the items and actively participate in the meeting.

3.      Resident representative are full voting members. Therefore, it is important for the resident to fully exercise that opportunity and for the alternate representative to be present to fill in during an absence and/or aid the representative on how best to speak in the interest of residents and fellows.

4.      The boards, councils, and committees depend on your participation and attendance to reach a quorum. Therefore, we ask that you attend at minimum, two of the three meetings during your appointment year.

View all TMA Boards, Councils and Committees.

Name*

First NameLast Name
Residency Program*
Phone Number

Area CodePhone Number
Residency/Fellowship Completion Date*

MonthDayYear
Date
Classification as of Aug. 1 this year*
(PGYI, PGYII, ect.)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number

Area CodePhone Number

Prior TMA BCC Service*

I currently serve as a representative/alternate and wish to remain on the same TMA BCC.I currently serve as a representative/alternate and wish to serve on a new TMA BCC.I have never served on a TMA BCC and wish to do so now.
1st Choice*
**Only one position available
2nd Choice
**Only one position available
3rd Choice
**Only one position available
Would you be willing to serve on more than one board, council or committee?*

YesNo
If it is not possible to assign you to one of your three choices, would you be willing to serve on another board, council or committee?*

YesNo

Reasons you are interested in serving on a TMA board, council or committee:*

(500 word limit)0/500
Pertinent background information from your Curriculum Vitae:*

(500 word limit)0/500
Should be Empty: