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AAPCA1 Board 2021-22 Nomination Application
Thank you for your interest in a leadership role on the AAP California Chapter 1 board. Please complete the nomination application below to be considered for an open position.
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1.
Please provide the following contact information:
Name (first, last)
Institution/Practice
Title
Email Address
AAP ID# *
*You must be a member of the chapter to serve on the board. If you are not a member, you may join the chapter here:
https://aapca1.org/membership/
2.
I am applying for:
MAL for Region 2 (El Dorado, Nevada, Placer, Sacramento, Yolo counties)
MAL for Region 3 (Alpine, Amador, Calaveras, San Joaquin, Stanislaus and Tuolumne counties)
MAL for Region 5 (San Francisco, includes Daly City)
MAL for Region 11 (Contra Costa and Solano counties)
AAP California Chapter 1 Vice President
3.
Please list current/past roles in the AAP (local, district or national).
4.
Please describe current/past leadership activities.
5.
Please describe experiences that you have with fostering diversity, equity and inclusion in a professional setting.
6.
Please describe your interest in becoming a MAL including any specific contributions you would like to make to the Chapter and any specific topical interests (300 word limit).
7.
Narrative biosketch: Please provide a brief biography that could be included with the election ballot (250 word limit).
Photograph: Please email a photograph that we can include with the election ballot to info@aapca1.org.
If you have any questions about the position or application, please do not hesitate to contact us at info@aapca1.org.
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