2017 Board Leadership Program Application

2017 Board Leadership Program Application

Please complete your application by April 7, 2017. If you have any questions, please email us anytime at info@aapamentoring.com

  • Please complete the sections below (sections I-III can be answered by providing your most recent resume to info@aapamentoring.com)

  • I. Personal Information

  • (###) ###-####
  • II. Employment History/Volunteer Experience

  • (###) ###-####
  • III. Education and Certifications

  • IV. Skills and Expertise (to select multiple rows, select and hold down the control key)

  • V. Non Profit Areas of Interest (to select multiple rows, select and hold down the control key)

  • VI. Areas of Board Interest (to select multiple rows, select and hold down the control key)

  • VII. Availability

  • VIII. Statement of Interest (Applicant must limit statement of interest to under 1,000 words).

  • IX: Statement of Agreement

    PLEASE READ AND SIGN BELOW: I wish to participate in the AAPA Board Leadership Program. I certify that all the information is true and correct to the best of my knowledge. I understand that graduation from the program will require me to attend the first session in its entirety and miss no more than 2 individual 2-hour sessions.
  • mm/dd/yyyy
  • 2017 PROGRAM FEE: $500 (FEE WILL BE DUE ONCE YOU HAVE BEEN ACCEPTED INTO THE PROGRAM).

  • IF YOU DID NOT COMPLETE SECTIONS I-III, SEND YOUR RESUME TO INFO@AAPAMENTORING.COM

  • QUESTIONS? PLEASE CONTACT US AT INFO@AAPAMENTORING.COM. THANK YOU!