ICAAP Website Involvement Form Volunteer with ICAAP Thank you for interest in volunteering with ICAAP! Please indicate your interest and we will be in contact as soon as we can. If you have any questions, please contact Jennie Pinkwater at jpinkwater@illinoisaap.com OK Question Title * 1. Name: OK Question Title * 2. Email OK Question Title * 3. Membership Type: Fellow Resident/Post-Residency Training Specialty Fellow Senior National Affiliate Associate (DDS/DMD) Chapter Affiliate Medical Student I'm not sure OK Question Title * 4. I'm interested in supporting ICAAP's work in the following areas: Immigrant and Refugee families Legislative and Advocacy Children with Chronic Illness and Special Healthcare Needs School Health Immunizations Wellness/Obesity Child Development/Mental Health Child Abuse and Neglect Reach Out and Read Injury Prevention/Gun Violence Insurance (Private) Medicaid (Public) Social Determinates of Health (Food Insecurity/Housing Insecurity) Adolescents Annual Conference Quality Improvement Hospital based medicine Injury Prevention Other (please specify) OK Question Title * 5. Feedback on specific issues Medicaid Insurance coverage Mental Health Other (please specify) OK Question Title * 6. Do you have any other comments, questions, or concerns? OK DONE