Leadership – Committee Application The Fine PrintThank you for your interest in serving on a PAFP committee. Please note: (1) You must be a member in good standing. (2) Committee members are expected to attend all meetings, virtual and in person – in-state travel is required 2-4 times a year. (3) Conflict of Interest Statements must be completed annually. For questions about PAFP leadership or the application and selection process, please contact Brent Ennis at bennis@pafp.com. Residents: to apply for a committee position, you must apply through the Residency Assembly that meets in April. If you have any questions, please contact Molly Talley at mtalley@pafp.com.APPLICANT INFORMATIONName(Required) First Last Suffix Additional TitlesEmail Address(Required) Enter Address Confirm Address Mobile Phone(Required)COMMITTEE OPTIONS(Required)Please select the committee on which you are applying to serve. Resident and Student Affairs Continuing and Professional Development Governmental Affairs and Practice Advocacy Statement of Interest(Required)Please describe your interest in serving on a PAFP committee and share any relevant qualifications and/or experiences. CAPTCHA