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PA Foundation Board of Trustees
2024 Call for Nominations - Student Trustee
The PA Foundation Committee on Nominations is seeking a PA student to serve as a student member of the PA Foundation Board of Trustees. The incoming student trustee selected through this nominations cycle will serve a term beginning July 1, 2024, and ending June 30, 2026.
Please review the
2024 Student Nominee Information Guide
before completing the application below.
Please confirm you have read and acknowledge the requirements of trustee service as outlined in the 2024 Student Nominee Information Guide.
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Yes, I have read and acknowledge the requirements.
Nominee Information
First Name
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Middle Initial:
Last Name
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Home Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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PA Program:
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Expected Graduation Date:
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
AAPA Member ID
(Note: Nominee must be AAPA student member in good standing)
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Background/Qualifications
Previous medical experience, if applicable:
0/255 characters
Credentials:
Please list charitable organizations with which you have served (business, civic, community, fraternal, political, professional, recreational, religious, social).
Organization Name
Role/Title
Dates of Service
1.
Organization Name
Role/Title
Dates of Service
2.
Organization Name
Role/Title
Dates of Service
3.
Organization Name
Role/Title
Dates of Service
4.
Organization Name
Role/Title
Dates of Service
Free Responses
1. Please briefly describe your professional background and other relevant experience.
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2. Please explain what motivates you to apply for a volunteer position with the PA Foundation Board of Trustees.
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3. Please briefly outline the specific skills you bring, or contributions you hope to make, to the PA Foundation Board.
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4. The PA Foundation's mission is
to empower PAs to improve health through philanthropy and service
. Briefly explain how this mission inspires you.
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File Uploads
Résumé/curriculum vitae:
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Headshot:
Thank you for your interest in serving your Foundation!