WM DPG - Student EC Application

Instructions:

Submit this completed application form online.

The Weight Management DPG Executive Committee is responsible for selection of the Student Representative. Each applicant will be considered based on commitment to the position, experiences and strengths as related to the needs of the position, and overall impression. The applicant may be contacted for a phone interview if further information is needed. Service begins June 1, 2024 and concludes May 31, 2025.

Question Title

* 1. Please add your contact information here.

Name

Academy #

School/Program

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Please upload your resume/CV here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 3. Please complete the following:

Are you a current Weight Management DPG member?

How long have you been an Academy member?

How long have you been a WM DPG member?

Question Title

* 4. The Student Executive Committee member is expected to attend monthly WM DPG virtual meetings, as your schedule allows. Are you willing/able to participate in monthly calls (subject to scheduling)? These calls are 1.5 hour or less per month.

Yes

Unsure

If you are unwilling, unsure or unable to participate in monthly calls, please provide a brief explanation:

Question Title

* 5. What is your interest in this position?

Question Title

* 6. What skills and competencies do you bring to this position?

Question Title

* 7. Describe your experience in writing articles and communication pieces.

Question Title

* 8. What do you hope to gain from the experience?

Question Title

* 9. Please provide contact information for one professional reference.

Name (Reference 1)

Job Title/Institution (Reference 1)

Email address (Reference 1)

Question Title

* 1. Please add your contact information here.

Question Title

* 2. Please upload your resume/CV here.

Question Title

* 3. Please complete the following:

Question Title

* 4. The Student Executive Committee member is expected to attend monthly WM DPG virtual meetings, as your schedule allows. Are you willing/able to participate in monthly calls (subject to scheduling)? These calls are 1.5 hour or less per month.

Question Title

* 5. What is your interest in this position?

Question Title

* 6. What skills and competencies do you bring to this position?

Question Title

* 7. Describe your experience in writing articles and communication pieces.

Question Title

* 8. What do you hope to gain from the experience?

Question Title

* 9. Please provide contact information for one professional reference.

Question Title

* 10. Please add any final comments or any questions here.