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Sign the petition

to call for a

Convention of States!

signatures

Application Agreement Help

Before you can submit an application for a leadership position or for a member of a volunteer team, you must first electronically sign the COS Volunteer Confidentiality Agreement.

When you click on the Sign Volunteer Agreement button, the first page of the agreement form will open in a new browser tab, with your name and email address filled in fields 1 and 2. If you just created your COS account and haven't entered your name yet, field 1 will be blank, so enter it there. Select your state from the list in field 3, and enter your name in field 4 as your signature. Then click on the Continue to review button. This will then take you to the second page, where you need to click the Submit signed document button at the bottom to complete your signature. The agreement is not signed until you click on this button on the second page.

 

After signing the agreement, return to the application tab and use your browser's Refresh button to display the application form, and survey questions when applicable. If you still see the Sign Volunteer Agreement button, either the page did not refresh or your signature has not been properly recorded, so try following the above procedure again.

Why Did I Receive an Email When I Didn't Even Click the Button?

Just by viewing the application page with the Sign Volunteer Agreement button displayed, an esign transaction was created associated with your email address, which automatically sends the above email to you with the subject Convention of States Project has a document for you. This email has a link to display the same form as shown above. You can safely ignore this email. In addition, if you've chosen not to sign the agreement, the esign transaction that was created will have no effect on your account, though it will be reused if you later apply for this or another position, and thus you would not receive another email.

What Exactly Does the Agreement Say?

Following is the text of the agreement:

I, your name, am volunteering with the Convention of States Project.  By accepting this volunteer position and signing this document I understand and agree to the following:

1. I will not use any materials or information provided to me by Convention of States Project for my own private or commercial gain. I will use all materials provided by Convention of States Project solely for the advancement of Convention of States Project and its goals. I agree to abide by this provision even after my relationship with Convention of States Project has terminated.  I recognize that failure to abide by this section may result in immediate termination and, if warranted, appropriate legal action.

2. My participation in Convention of States Project is solely as a volunteer.  I acknowledge that no promises of employment or compensation of any kind have induced my participation in Convention of States Project or this agreement.

3. Convention of States Project has the right to unilaterally terminate this relationship at any time, for any reason, and, as a volunteer, I likewise have the right to cease my work for Convention of States Project at any time, for any reason.  However, upon termination of my relationship with Convention of State Project, I agree to return, destroy, or delete any materials, information, or other items provided to me by Convention of States Project, unless I receive written permission to do otherwise.  I recognize that failure to do so may result in appropriate legal action.

4. Convention of States Project has the right to amend this agreement at any time, and my continued involvement with Convention of States Project will constitute assent to these additional terms.  Convention of States Project will provide volunteers notice of any major substantive changes to this agreement, but I recognize that it is my responsibility to remain informed about the substance of this agreement.

 

If after reviewing the above instructions you still need further assistance signing the agreement, you may submit a support ticket at the COS Help Center and someone will get back to you. Be sure to include the email address you used to sign in with.

Click here to get involved!

Physicians for COS

The diagnosis is clear.

We have a growing cancer today known as the Obamacare. As a result physicians are no longer free to practice medicine.

No profession feels the full force of the federal government more than physicians. The medical profession is the most highly regulated profession in the United States. The practice of medicine is controlled, taxed, and regulated to the point of being destroyed by the heavy hand of the federal government.

Physicians are told how to bill, how much to charge, and how to treat patients. They are mandated to use expensive electronic medical records. The federally enacted HIPPA (Health Information Privacy and Portability Act) makes the communication between physicians and atients burdensome, inefficient,and expensive. Every physician is required by federal mandate to register with the government to obtain an NPI (national provider identifier.) We are required by federal law to obtain and pay for a license to prescribe medication through the DEA, which is separate from our state licensure.

This heavy hand of government not only oversees the largest federal health bureaucracy ever created, but by extension reaches into every state, every city, and every small town to regulate how every licensed physician practices the art of medicine and how citizens obtain care.

The treatment is also clear.

The prescription for a cure was written into our constitution by our founders. Article V of our constitution allows for the states to call for a convention of states to limit the power and jurisdiction of the federal government through the proposal of constitutional amendments. Physicians should be the strongest supporters of this brilliantly-crafted states’ rights tool placed into our constitution by our founders.

I urge my fellow American physicians to join with me in supporting an Article V Convention of States to take back control of the practice of medicine. It’s the only way that we can return the practice of medicine back to the intimate relationship between a doctor and patient without interference by the heavy hand of a distant, national government.

Jeffrey I. Barke, M.D. Family Physician Newport Beach, CA
Convention of states action

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