APA Leadership Position Application

Leadership Position Application

Full Name(Required)

Preferred Name

Degree(s)(Required)

Email(Required)

Academic Rank(Required)

Institution(Required)

Role(Required)

Contact Phone Number(Required)

Address(Required)

Please limit all answers to 250 words or less.

Please share what position you are interested in, your goals for what you hope to accomplish in the role, and how taking on this role will contribute to your own professional development.(Required)

How will your interests and expertise help the APA advance its mission and values:(Required)

Mission and Vision – Academic Pediatric Association (https://www.academicpeds.org/about/mission-and-vision/)

How will you help advance Diversity, Equity, Inclusion, and Anti-Racism for the APA? Please include any prior relevant experiences.(Required)

Please describe your involvement in and contributions to the APA.(Required)

Please describe your relevant activities, accomplishments and/or leadership roles within your institution and/or other organizations.(Required)

Please share anything else you would like the Nominating Committee to consider when reviewing your application, including any obstacles you have overcome during your career development.(Required)

Leadership Position Application

Please limit all answers to 250 words or less.

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