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Physician Associate Foundation (PAF) Board of Trustees
2025
Call for Nominations
The PAF Committee on Nominations is seeking individuals to serve as members of the Board of Trustees. The incoming board members selected through this nominations cycle will serve a term beginning July 1, 2025, and ending June 30, 2028. Nomination applications are due February 24, 2025.
Please review the
2025 Nominee Information Guide
before completing the application below.
Please confirm you have read and acknowledge the requirements of trustee service as outlined in the 2025 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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Employer Name
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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
Zip Code
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Your Title
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Background/Qualifications
What PAF Committee(s) have you served on, if any?
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Grants and Scholarships Committee
Nominating Committee
Women in Philanthropy Committee
None
If you are not appointed to the PAF Board of Trustees this year, would you like to be contacted about serving on a PAF Committee?
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Yes
No
Please list non-profit boards and committees that you serve on or have served on
(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
Please select the areas in which you have direct experience and relationships
(check all that apply)
:
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Health equity and DEI programmatic funding
Corporate foundations (e.g. pharma, insurers, biotechnology, other healthcare industry partners)
Private foundations
Law, policy, and government
State or regional funders
Other
Other
Please describe your background/experience and relationships in the areas selected above.
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Are you a PA?
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Yes
No
AAPA Member ID, if applicable
(note: PA nominees must be AAPA Fellow member in good standing)
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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 PAF Board of Trustees.
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3. Based on the committees you have served on and the experience that you have had, how do you envision your involvement in and the role you expect to play in the PAF Board of Trustees?
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4. PAF's mission is
to empower PAs to improve health through philanthropy and service
. Briefly explain what this mission means to you.
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File Uploads
Résumé/curriculum vitae:
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Thank you for your interest in serving your Foundation!