Skip to main content
Top menu
Thoracic Surgery Foundation
The Annals of Thoracic Surgery
Career Center
STS National Database
Learning Center
CORA
Join
Login
Search
Search
Main menu
Education
Education
STS OnDemand
Ask CORA
Online Learning
STS Consult
Thoracic Surgical Curriculum
8-in-8 Video Series
International Activities
Educational Collaborations
Credit Claiming
Events
Annual Meeting
Calendar of Events
Webinars
Leadership Institute
Resident Showdown
News
News
Newsroom
Blogs
Podcasts
Magazine
Newsletters
Videos
Press Releases
Topics
Advocacy
Member Stories
Leadership
Research
Best of Lung Cancer Science
STS Journals
The Annals of Thoracic Surgery
Annals Short Reports
Editors' Choice
Editorial Board
Annals Peer Reviewer Academy
Industry
Media Kit
Resources
Life & Career
Career Center
Trainee Hub
Early Career Surgeons
Compensation
Mentorship
Scholarships
Inclusion & Belonging
Wellness
Clinical Decision-Making
Clinical Practice Documents and Policies
Patient Safety
Surgical Checklists
Lung Nodule
Calculators & Tools
Risk Calculators
ACSD Longitudinal Outcomes Dashboard
Resource Utilization Tool
CORA: Cardiothoracic Online Resource Assistant
Coding & Reimbursement
Coding Resources
Coding Help Desk
For Patients
Navigating Lung Cancer
Research & Data
Registries
STS National Database
For Data Managers
STS/ACC TVT Registry
Research
STS Research and Analytic Center
Research Programs & Data Access
Current Projects
Published Research
Industry Data Requests
Public Reporting
STS Public Reporting
STS/ACC TVT Public Reporting
STS Database Participant Media Toolkit
Tools
Risk Calculators
Membership
Membership
Join Now
Advocacy
Overview
Get Involved
Key Issues
STS-PAC
Advocacy News
The Roadmap to Mobile Lung Cancer Screening
About
Who we are
About STS
Bylaws
Policies
Distinguished Partners
Governance & Leadership
Governance
Boards
Committees
Councils
Strategic Advisory Panels
Breadcrumb
Home
Leadership Self-Nomination 2027
You must have JavaScript enabled to use this form.
Part 1: Leadership Body Selections & Biographical Data
First Name
Middle Name
Last Name
Address
City/Town
State/Province
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
Canada
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other…
Enter other…
Country
Country
- None -
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d’Ivoire
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
North Macedonia
Norway
Oman
Outlying Oceania
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Samoa
San Marino
Sark
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
São Tomé & Príncipe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkmenistan
Turks & Caicos Islands
Tuvalu
Türkiye
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Other…
Enter other…
E-Mail
E-Mail
Confirm email
First Governance Body Selection
- Select -
Industry Relations Committee
Membership Committee
Standards and Ethics Committee
Workforce on Adult Cardiac Surgery Database
Workforce on Allied Health Integration and Support
Workforce on Annual Meeting
Workforce on Cardiothoracic Practice
Workforce on Career Development
Workforce on Coding and Reimbursement
Workforce on Congenital Heart Surgery Database
Workforce on Database Innovation
Workforce on Digital Education
Workforce on Evidence-Based Surgery
Workforce on General Thoracic Surgery Database
Workforce on Health Policy, Reform, and Advocacy
Workforce on Inclusion and Belonging
Workforce on Intermacs Database
Workforce on International Education
Workforce on Nina Starr Braunwald Center
Workforce on Research
Workforce on Standalone Meetings
Workforce on Wellness
STS-PAC Board of Advisors
Second Governance Body Selection
- None -
Industry Relations Committee
Membership Committee
Standards and Ethics Committee
Workforce on Adult Cardiac Surgery Database
Workforce on Allied Health Integration and Support
Workforce on Annual Meeting
Workforce on Cardiothoracic Practice
Workforce on Career Development
Workforce on Coding and Reimbursement
Workforce on Congenital Heart Surgery Database
Workforce on Database Innovation
Workforce on Digital Education
Workforce on Evidence-Based Surgery
Workforce on General Thoracic Surgery Database
Workforce on Health Policy, Reform, and Advocacy
Workforce on Inclusion and Belonging
Workforce on Intermacs Database
Workforce on International Education
Workforce on Nina Starr Braunwald Center
Workforce on Research
Workforce on Standalone Meetings
Workforce on Wellness
STS-PAC Board of Advisors
Third Governance Body Selection
- None -
Industry Relations Committee
Membership Committee
Standards and Ethics Committee
Workforce on Adult Cardiac Surgery Database
Workforce on Allied Health Integration and Support
Workforce on Annual Meeting
Workforce on Cardiothoracic Practice
Workforce on Career Development
Workforce on Coding and Reimbursement
Workforce on Congenital Heart Surgery Database
Workforce on Database Innovations
Workforce on Digital Education
Workforce on Evidence-Based Surgery
Workforce on General Thoracic Surgery Database
Workforce on Health Policy, Reform, and Advocacy
Workforce on Inclusion and Belonging
Workforce on Intermacs Database
Workforce on International Education
Workforce on Nina Starr Braunwald Center
Workforce on Research
Workforce on Standalone Meetings
Workforce on Wellness
STS-PAC Board of Advisors
Will You Be a CT Surgery Resident Through January 2028?
Yes
No
Biosketch (500 character limit)
Specific Qualifications (500 character limit)
Upload your most recent CV
One file only.
15 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Leave this field blank