The Alliance Leadership and Innovation Council
2015 Council Member Nomination Form
Overview:
The Organ Donation and Transplantation Alliance (The Alliance) is seeking nominations of
individuals to serve on the newly created Leadership and Innovation Council. This Council will
be comprised of not only organ donation and transplantation industry leaders but also innovative
leaders from other industries including, but not limited to, higher education, healthcare,
technology and business.
Alliance mission:
The Alliance is the recognized leader within the organ donation and transplantation community
dedicated to providing engaged learning, innovation and collaborative leadership for future
advancements in organ donation and transplantation.
Purpose:
The Leadership and Innovation Council will facilitate leadership networking and innovative idea
exchange, testing and implementation within the organ donation and transplantation community
in an effort to save and heal more lives.
Council Principles:
 Lead and influence the organ donation and transplantation community
 Collaborate and engage with the next generation of donation and transplantation leaders to
share knowledge and ideas and transform ideas into action
 Engage the donation and transplantation community to encourage broader, innovative
thinking for the purposes of increasing the number of organ donors and patients
transplanted in the nation
Council Member Commitment:
Council members will serve a two year term of appointment and may be reappointed for one
additional two year term. Members will participate in four quarterly conference calls each year
and one in-person meeting. Members will be responsible for covering the travel costs
associated with attending any in-person meetings. If a member or their organization is unable to
provide travel support, the member may apply for a travel scholarship to help offset travel
expenses for attending the in-person meeting.
Council Member Attributes:
The Council will be comprised of leaders, change agents and innovative thinkers within their
respective industry. To the extent possible, members’ backgrounds will include senior leaders,
clinical operations and performance improvement professionals who demonstrate the ability to
effectively lead change. Every effort will be made to represent diversity and a variety of
geographic locations in the United States.
Members of this Council must possess specific attributes in order to best carry out the mission
and purpose of the Council. Members must be experienced leaders or come recommended by a
leader, and all must have a proven track record of innovation and being an effective change
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agent. This must be demonstrated through submitting examples of their accomplishments in
how they impacted change within their organization and/or industry.
Required attributes:
1. Innovative thinker
2. Change agent
3. Progressive leadership style
4. Demonstrate a strong commitment to the mission
5. Willingness to proactively search for innovative ideas and experiment with them
6. Accept perspectives and ideas different from his/her own
Preferred attributes:
1. A blend of optimism and realism
2. Accepting of uncertainty, risk and failure
3. Commitment to continuous learning
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Please briefly describe why you are interested in serving on this Council and what you will bring
to the group. Describe your experience and accomplishments as an innovative leader or change
agent within your organization.

Service and Participation (Boards, committees, taskforces, faculty/speaker)

Certification Information (List any degrees, certifications)

Accomplishments (awards, grants, authorships, research achievements)

Other
Name:
Title:
Organization:
E-mail:
Phone:
Forms must be submitted by Friday, March 20, 2015, to LeAnn Swanson at
lswanson@odt-alliance.org. Questions, please call 786-409-6923.
For more information about the Organ Donation and Transplantation Alliance visit
www.organdonationalliance.org
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