1. Applicant Contact Information, Eligibility Requirements, and the Application Process

WELCOME! This is the application for the California Physicians Alliance Medical Student Fellowship. This is a phenomenal full time, one-year position, and the only one of its kind in California. Please read this section before completing the application and contact us if you have any questions.

ELIGIBILITY REQUIREMENTS
All applicants must meet the following eligibility requirements:
1. You must be a current medical student.
2. You must be either living in California, from California, or with a detailed knowledge of California.

APPLICATION PROCESS
1. You submit your application and CV/resume.
2. The CaPA Executive Committee selects the top applicants for in-person or phone interviews.
3. The CaPA Board confirms the EC Committee's top choice.

BEFORE YOUR COMPLETE THE APPLICATION PLEASE READ:
1. CaPA Mission Statement:
http://capa.pnhp.org/about_capa.php
2. CaHPSA Mission Statement:
https://docs.google.com/fileview?id=0B86z2cdRjr1UZTFiMWUzNzktNzRkMy00ZmZiLWJkYWMtY2EzNDczZjM3YjIw&hl=en
3. MSF Position Proposal:
https://docs.google.com/fileview?id=0B86z2cdRjr1UM2Q4NWJlZmItNGY0Ni00YjA4LTg4N2MtYjljOWZlOGJkM2Mw&hl=en
4. MSF Position Strategic Goals:
https://docs.google.com/fileview?id=0B86z2cdRjr1UMWFlZDFjNjEtZmJlOC00MDE2LWFmZjUtZjkwM2JiNzQ3NzJi&hl=en

FINALLY, please submit a resume or CV to CaPA.Fellow@PNHP.org

IF YOU HAVE ANY QUESTIONS PLEASE CONTACT:
JB Fenix
CaPA.Fellow@PNHP.org
203.464.1892

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* 1. Please write your first name:

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* 2. Please write your last name:

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* 3. Please write your school contact email (both so we may contact you and to confirm that you are a current student):

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* 4. Please write your contact phone number:

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* 5. Please write your location for 2010-2011 academic year:

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* 6. Please provide the contact information for two references that can:
1. Comment on your leadership potential.
2. Comment on your ability to start and/or manage projects.

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* 7. Please describe why you are interested in the position, how it fits with your longterm professional goals, and any ideas you have for projects as the CaPA MSF.

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* 8. Please describe any leadership experience, ability to manage teams, or other skills you have that would be valuable to the position.

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* 9. Please describe your previous involvement with CaHPSA, Lobby Day, or any other aspect of the single-payer movement.

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* 10. Is there anything else you would like us to know?
FINALLY, please submit a resume or CV to CaPA.Fellow@PNHP.org
Once this is received we will confirm that we have all components of your application. If you do not receive a confirmation email from us then assume that we DO NOT have your application! Thank you!

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