2019-2020 AOCPMR Resident Council Application
Application and Letter of Intent for Candidacy
Full Name: *
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Residency Program: *
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Graduation Year *
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Email Address: *
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Cell Phone #: *
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Mailing Address: *
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AOCPMR INVOLVEMENT: *
Please include a brief paragraph stating your involvement with AOCPMR and why you are interested in serving in a leadership role on Resident Council.
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First Choice *
POSITIONS: Place a rank-number (1-5) aside the positions you would like to serve. Rank as many as 5 positions.
2nd Choice *
POSITIONS: Place a rank-number (1-5) aside the positions you would like to serve. Rank as many as 5 positions.
3rd Choice
POSITIONS: Place a rank-number (1-5) aside the positions you would like to serve. Rank as many as 5 positions.
4th Choice
POSITIONS: Place a rank-number (1-5) aside the positions you would like to serve. Rank as many as 5 positions.
5th Choice
POSITIONS: Place a rank-number (1-5) aside the positions you would like to serve. Rank as many as 5 positions.
If you have an interest in holding multiple subcommittee positions please list the two (2) positions you are considering and why you should be an applicant for both
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