Sign-Up for AAPath Communications Professionals Group

Question Title

* Please provide details for the staff member to be appointed to AAPath's new Communications Professionals Group (CPG):

Name, Degree(s):

Title(s):

Institution:

Email Address:

Phone:

Question Title

* Is this staff member solely employed by the department or are they shared with other departments and/or employed by the institution as a whole?

Yes, they are shared with other departments and/or employed by the institution

No, they are solely employed by the pathology department

If yes, please tell us who employs the staff member:

Question Title

* Is this staff member replacing someone already in the CPG or in addition to other representatives from your department?