MNAAP Advocacy: Interest Form
The Minnesota Chapter of the American Academy of Pediatrics (MNAAP) is a leading voice on children's health issues at the Capitol. Throughout the legislative session, we work with member pediatricians to submit letters to the editor, talk with reporters about certain issues, arrange key meetings with legislators or provide testimony at the Capitol. Please let us know if you might be interested in helping with any of these activities in the future.
Name *
Your answer
Email *
Your answer
Home address (to determine legislative district)
Your answer
Career phase
Practice location/institutional affiliation
Your answer
Issues most interested in or concerned about:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service