APHA Planning Committee Interest Form
This form is for LCPH members interested in be part of the planning for Annual Dinner and Awards Ceremony, as well as the Helen Rodriguez-Trias Breakfast at APHA 2019 in Philadelphia.
Name:
Your answer
Email:
Your answer
Are you a current member?
Do you live in Philadelphia?
What is your current affiliation? (University, Organization)
Your answer
Which program are you interested in? (Check all that apply)
Submit
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