TAFP Council and Committee Application
TAFP council and committee appointments will be made by a screening committee composed of members of the TAFP Board of Directors. You can express interest in more than one group and indicate your preference. Committee terms are one year for resident and student members. Please submit this form by January 20.
First and last name
Cell phone number
Residency completion year or graduation date
Residency Program or Medical School
Please provide a statement of interest of no more than 250 words.
Hit "next" to go to page 2 and continue the application.
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