Thank you for your interest in nominating yourself to be a part of our California Chapter 1, AAP Area Directors. 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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* 1. Please provide the following information:

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* 2. I understand that I 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/)

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* 3. Please select the position you are applying for.
(You may view our geographic breakdown here: https://aapca1.org/about/)

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* 4. Please describe your interest in the selected leadership position, including any specific contributions you would like to make to the chapter and any specific topical interests (300 word limit).

NOTE: this will be added to the ballot.

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* 5. Please provide a short summary of your current work/leadership in pediatrics. (250 word limit)

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* 6. Please describe experiences that you have with fostering diversity, equity and inclusion in a professional setting. (2-3 sentences)

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* 7. Attach your CV.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 8. Attach a professional headshot of yourself.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 9. If elected, I am willing to dedicate the time and effort necessary to serve as a contributing director and/or director/officer of AAPCA1’s Board and any committees to which I am appointed.

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