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ACPNJ 2018 Northern Region Council Nominations

ACPNJ North Council Elections

A call for nominations to serve as a Council member representing the Northern Region is now open. If you are a member of the Northern Region please consider nominating yourself or a colleague. Council members serve a 2-year and must attend 4 Council meetings a year (2 teleconferences and 2 face-to-face meetings). If you are interested in running for the Council please complete the form below.

*1.Please provide the following information:(Required.)

Name

Practice

Address

City/Town, State, Zip

Email Address

Phone Number

*2.Please describe your practice (solo, group, hospital owned, residency, etc.):(Required.)

*3.Please briefly tell us why you are interested in running for the Council.(Required.)

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