Immigrant Health Task Force Co-Chair Application

Thank you for your interest in a leadership role on the AAP California Chapter 1 Immigrant Health Task Force. Please complete the nomination application below to be considered for this 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 as a committee Co-Chair. If you are not a member, you may join the chapter here: https://aapca1.org/membership/

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* 2. Please list current/past roles in the AAP (local, district or national) and describe any current/past leadership activities outside of AAP.

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* 3. Please describe your interest in becoming an Immigrant Health Task Force Co-Chair including any specific contributions you would like to make to the Chapter and any specific topical interests (300 word limit).

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* 4. Please describe experiences that you have with fostering diversity, equity and inclusion in a professional setting.

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* 5. Narrative biosketch: Please provide a brief biography here and email us your CV at info@aapca1.org. We recommend utilizing the following outline to write your biosketch:

Your current work and position as well as other pediatrics/advocacy related work

Past work experience and training history

Personal interests/hobbies one would like to highlight

If you have any questions about the position or application, please do not hesitate to contact us at info@aapca1.org.