PAFP Leadership Application Form - Section 1 of 8
Thank you for expressing interest in serving in a leadership position with the Pennsylvania Academy of Family Physicians (PAFP). Applications are evaluated based on current and past participation in PAFP activities, as well as on specific qualifications and core competencies necessary for effective leadership and governance of the organization. The PAFP Governance and Leadership Committee selects a slate of recommendations to present to the Board of Directors and eventually to the membership 45 days in advance of the PAFP Annual Business Meeting, where final approval is determined.
Please complete this form and then send a Letter of Interest and curriculum vitae to assist in deliberations for selecting the most qualified candidates, and send to: John S. Jordan, CAE, Executive Vice President and CEO (firstname.lastname@example.org).
RESIDENTS: Please note for PGY 1 & 2 residents, if you are applying for a Committee position please apply thru the Residency Assembly which meets in April. If you have any questions please contact Molly Talley at email@example.com.
After completing your Leadership Application please submit your curriculum vitae to John Jordan at firstname.lastname@example.org. Lastly, please remember to complete your conflict of interest statement.