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AAPCA1 Board Position Application Form

Thank you for your interest in nominating yourself to be a part of our American Academy of Pediatrics California Chapter 1 Board and Leadership.

If you have any questions about the position or application, please do not hesitate to contact us at info@aapca1.org.
1.Please provide the following information:
2.I understand that I must be a member of the chapter to serve on the board. (If you are not a member, you may join the chapter here: https://aapca1.org/membership/)
3.Please select the position you are applying for.
(You may view our geographic breakdown here: https://aapca1.org/about/)
4.Please provide a ballot-ready narrative describing your interest in the selected leadership position, your qualifications, and any specific contributions you would like to make to the chapter (200 word limit).

NOTE: This response will be added to the election ballot sent to our members
5.Please describe experiences that you have with fostering diversity, equity and inclusion in a professional setting. (2-3 sentences)
6.Please provide a short bio. (1-2 short paragraphs suggested)
7.Attach your CV.

(You may also email it to info@aapca1.org after submitting this application if you cannot upload one at this time.)
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8.Attach a professional headshot of yourself.

NOTE: This picture will be added to the election ballot.

(You may also email it to info@aapca1.org after submitting this application if you cannot upload one at this time.)
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