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UAPA Leadership Opportunities
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Full Name
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Your answer
Preferred Email Contact
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Your answer
Are you interested in being considered for any of the following appointed positions?
Professional Affairs Committee
Conference Committee Chair
Which elected positions would you like to run for (please rank in order of interest)
President Elect
Vice President
Treasurer
Member at large, region 1 (must live in region 1)
Member at large, region 3 (must live in region 3)
Junior Delegate
First choice
Second preference
Third preference
President Elect
Vice President
Treasurer
Member at large, region 1 (must live in region 1)
Member at large, region 3 (must live in region 3)
Junior Delegate
First choice
Second preference
Third preference
Clear selection
Is there anything you want to add about your interest in serving in leadership roles with UAPA?
Your answer
Best Contact number
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