Co-Chair Attestation Form Name(Required) First Last Please select if you are a Region or SIG Chair(Required)Region ChairSIG ChairRegion Chair AttestationThe Region Co-Chair Handbook can be viewed at: https://www.academicpeds.org/wp-content/uploads/2025/11/Handbook-for-APA-Region-Leaders-2025.pdfPlease select the Region you are a chair of:(Required)Region 1Region 2Region 3Region 4Region 5Region 6Region 7Region 8Region 9Region 10Consent(Required) I confirm that I have read the Region Co-Chair HandbookSIG Chair AttestationThe SIG Co-Chair Handbook can be viewed at: https://www.academicpeds.org/wp-content/uploads/2025/12/Handbook-for-APA-SIG-Leaders-2025-1.pdfPlease select the SIG you are a chair of:(Required)Advocacy TrainingChild AbuseComplex CareContinuityDevelopmental-Behavioral PediatricsDivision DirectorsE- Learning in Medical EducationEmergency MedicineEnvironmental Health, Climate Change, and SustainabilityEthicsEvidence-Based PediatricsFaculty DevelopmentGlobal HealthGroup CareHealth Care Transition and Disease Self-ManagementHealth Care ValueHealth Equity in Youth Affected by the Carceral SystemHealth InformaticsHealth LiteracyHospital MedicineImmunizationInjury ControlIntegrative PediatricsInterdisciplinary Pediatric ResearchersLatino Child Health ResearchLGBTQ Health and Well-BeingLiteracy Development Programs in Primary CareMedical Student EducationMid-Career FacultyNewbornNutrition and Food is MedicineObesityPatient and Family Centered CarePediatric Clinical Research NetworkPediatric ResidentsPediatric Tobacco IssuesPHM LeadershipQualitative ResearchQuality ImprovementRace in MedicineSchool HealthServing the UnderservedSimulation-based Medical Education (SBME)Social Determinates of Health (SDoH)Teaching in CommunityUrgent CareWell-Being and VitalityWomen in MedicineConsent(Required) I confirm that I have read the SIG Co-Chair Handbook Δ