* 1. Thank you for your interest!  The Academy does most of it's work via three councils.  Please rank your interest in each council.  1 indicates highest interest. N/A indicates no interest.

* 2. Please rank your interest in these committees under the Education Development Council.  1 indicates highest interest.  N/A indicates no interest

* 3. Please rank your interest in these committees under the Professional Issues Council.  1 indicates highest interest. N/A indicates no interest.

* 4. Please rank your interest in these committees under the Research Council.  1 indicates highest interest. N/A indicates no interest.

* 5. Please tell us anything else that will help us find the best fit for you:

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