Application Due Tuesday, September 1st

*1.Personal Information(Required.)

First Name

Last Name

Institution

Email Address

*2.Are you currently a member of the AAPS?(Required.)

Yes

No

I have an application in process for the 2027 review cycle.

*3.Upload CV(Required.)

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*4.In a short statement, please:
1) explain why you are interested in attending the AMLA
2) share your history of leadership experience
3) explain your future aspirations for leadership(Required.)

*5.Upload a Letter from your Chair, Division Chief, or Supervisor that indicates support in attending the AMLA(Required.)

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*6.Download the Academy Acknowledgement Document. After reviewing it, sign and date the form, and obtain the signature and date from your Chair, Division Chief or Supervisor(Required.)

After the document is signed and dated by you and your Chair, Division Chief or Supervisor, please upload the document here.

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By submitting your application, you understand that a registration fee of $1,000 (For Members) & $5,000 (For Non-Members) is required to confirm participation if accepted. You hereby affirm your willingness and ability to pay this fee upon acceptance into the program.