Applications Due: Friday, May 30, 2025

🎉 Thank you for stepping up to shape the future of the DermPA™ profession! 🎉

We’re thrilled you’re interested in becoming a volunteer for an SDPA committee! Our committees help drive innovation and build community, making a lasting impact on the organization.

As a committee volunteer, you’re not just lending a hand—you’re helping lead the way. You’ll be part of a passionate team that embodies SDPA’s eight core values: Community, Dedication, Diversity, Excellence, Integrity, Innovation, Respect, and Resilience.

🌟 Ready to make your mark? Just complete the form below and indicate up to three committees that spark your interest—make sure to rank them, with your top choice first!

📌 Important: Only fully completed forms with all required documents will be considered.

🕛 Deadline: Submit by 11:59 PM ET on Friday, May 30, 2024.

🔗 For full details, visit SDPA’s Call for Volunteers page.

Let’s build something great—together.
Your Information:

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1. Name: (Required.)

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2. Email: (Required.)

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3. Phone Number: (Required.)

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4. Mailing Address: (Required.)

Practice Information:

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5. Practice Name: (Required.)

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6. Practice Address: (Required.)

Membership Information:

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7. Please indicate your SDPA membership category. (Required.)

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8. How long have you been a member of SDPA? (Required.)

Committee Descriptions:
Please review committee descriptions before selecting. These can be found on SDPA's Call for Volunteers page.

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9. Please list below your top three committee choices.
  • CME Conference Committee
  • Communications Committee
  • Dermatology PA Foundation (DPAF)
  • Diplomate Fellowship Advisory Panel
  • Distance Medical Education Committee
  • Early Career DermPA Committee
  • Government Affairs and Advocacy Committee
  • IDEA Committee (Inclusion, Diversity, Equity & Access)
  • Membership Committee
(Required.)

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10. What inspired you to serve SDPA in a volunteer capacity?
(Required.)

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11. What would you like to contribute as a volunteer?
(Required.)

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12. What specific skills or expertise would you bring to the committee? (Required.)

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13. Which of SDPA’s core values resonate most with you, and why? (Required.)

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14. Do you have experience serving on a volunteer committee or board? (Required.)

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15. Are you interested in serving in a future leadership role at SDPA? (Required.)

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16. Final Acknowledgement: (Required.)

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