NYSAFP Student Leadership '22-'23 Form

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We are so excited that you are interested in a student leadership role with the NY State Academy of Family Physicians! You can view all leadership positions here: https://docs.google.com/document/d/1oORWmqw2RlaATKb2CbG3FzahTbFw6ZO6kyidil0aYE8/edit?usp=sharing

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E-pošta *

Name *

School and Year *

Are you from NY, go to school in NY, or otherwise have ties to New York? If so, please elaborate.

Are you registered as a student member of the NYSAFP? (All student leaders must register as members - you can do so for FREE!) *

Yes, I am!

Not yet - but I will do so at http://www.aafp.org/membership/join/student.html

We'd love to know more about you! Please share briefly (less than 250 words) with us any prior leadership experience, your interest in Family Medicine and/or what you hope to get out of serving as a student leader in the NY State Academy of Family Physicians: *

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