AAPCA1 Advocacy Committee - Join

Join the Advocacy Committee

Please complete this brief form to join the AAPCA1 Advocacy Committee.

The AAPCA1 Advocacy Committee aims to use the collective voices of pediatricians to pursue policy that serves the best interest of the child and their well being. Some of our efforts include:

Providing education and opportunities for our members to develop and practice advocacy
Keeping members informed of and encouraging participation in local, state and national legislative advocacy
Coordinating strategic advocacy campaigns in collaboration with members and chapter leadership
Advancing health equity

We are excited to see the Advocacy Committee expand and look forward to learning about you soon!

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* 1. Full Name

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* 2. Email Address

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* 3. Practice Setting:

Community - private (solo or group)

Community - FQHC

Community - County Hospital

Academic setting

Other (please specify):

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* 4. Where are you in your career?

Medical Student

Resident

Fellow

In practice less than or equal to 10 years

In practice greater than 10 years

Emeritus/Retired

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* 5. Specialist vs Primary Care (please select one)

Primary Care

Specialist (list what kind below)

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* 6. What do you hope to get out of this committee?

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* 7. What ideas do you have for this committee?
(e.g. goals, activities, etc.)

Thank you for joining! We will be in touch with you soon.

Question Title

* 1. Full Name

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* 2. Email Address

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* 3. Practice Setting:

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* 4. Where are you in your career?

Question Title

* 5. Specialist vs Primary Care (please select one)

Question Title

* 6. What do you hope to get out of this committee?

Question Title

* 7. What ideas do you have for this committee? (e.g. goals, activities, etc.)

* 7. What ideas do you have for this committee?
(e.g. goals, activities, etc.)