2026 Program Leaders - Recruitment Form - Academic Pediatric Association

2026 Leader Recruitment Form

Program leaders should use this form to list volunteer positions they plan to recruit for in 2026.

Your name(Required)

Your email address(Required)

Your APA Program (e.g., ESP, New Century Scholars, Education Committee, etc.)(Required)

If you are recruiting for more than three positions, please complete and submit an additional form.

Position 1:

Position 1: Please indicate if this role is for:

Faculty

Trainee

Position 1: Are there particular qualifications or eligibility criteria for this position?

Position 2:

Position 2: Please indicate if this role is for:

Faculty

Trainee

Position 2: Are there particular qualifications or eligibility criteria for this position?

Position 3:

Position 3: Please indicate if this role is for:

Faculty

Trainee

Position 3: Are there particular qualifications or eligibility criteria for this position?

Please share any other details staff should be aware of regarding your program or the positions you are recruiting.