Thank you for your interest in joining the Family Partnership Team - Young Adult Panel (YAP) for the Building Capacity for Trauma-Informed Pediatric Care Project at the American Academy of Pediatrics. If you have any questions as you complete this application, please reach out to Lauren Geary at lgeary@aap.org.

Please note that international applicants will not be accepted.

Question Title

* What is your age in years?

0 100
Clear
i We adjusted the number you entered based on the slider’s scale.
Please provide the following information:

Question Title

* Name:

Question Title

* Pronouns:

Question Title

* City, State, Zip: 

Question Title

* Email Address: 

Question Title

* Phone Number

T