* 1. Name:

* 2. Email address:

* 3. SIG, Region, Committee, Program you chair and/or represent (if any):

* 4. In what ways can APA achieve its 2017-2022 Strategic Plan and/or are there specific contributions you can make to help us achieve our goals?

* 5. Please provide any feedback on the PAS meeting below. What do you like about the meeting? What, if any, would you change?