Trainee Liaison Application for WIMS » Faculty Advancement and Engagement » College of Medicine

Trainee Liaison Application for WIMS 2026-2027

Use this form to nominate a fellow or resident—including self-nominations—for a leadership position with the Women in Medicine and Science (WIMS).

Applicant's Name(Required)

First Last

Year in Training(Required)

Department(Required)

Please refer to the descriptions below to make your top two selections from the drop-down menus:

Mentorship and Advocacy Subcommittee Co-Chair: This committee will engage faculty to personally become agents of positive change with the goal of creating a psychological safe environment for all faculty, residents and staff.

Excellence Recognition Subcommittee Co-Chair: This committee will formally recognize the outstanding work of WIMS members by pursuing both internal awards within the institution and external awards at the local/regional and national levels.

Education and Professional Development Subcommittee Co-Chair: This committee will provide education on academic and nonacademic topics including Wellbeing, leadership skills and career development. This committee will facilitate educational meetings for WIMS membership, which is open to all faculty.

Engagement and Outreach Taskforce Co-Chair: This committee will enhances engagement among members of WIMS through meaningful social events and service-oriented initiatives. By fostering connection, collaboration, and outreach, the Taskforce aims to strengthen the WIMS community and its impact in the organization.

Please select your first choice(Required)

Please select your second choice(Required)

Reason of interest(Required)

Please describe the reasons for your interest in serving in this leadership role and the experiences that support your application for this position (maximum 250 words)

Upload CV (Optional)

Max. file size: 125 MB.

Submit Form

Thank you for your interest and support of the University of Florida College of Medicine – Jacksonville – WIMS. Please click submit below, and you will receive confirmation of your nomination.