AAPI MIG Volunteer Leaders Application
Name
First Name
Middle Name
Last Name
Email
example@example.com
Preferred Name (to appear on the ballot)
First Name
Last Name
Credentials
Professional Certification (if applicable)
Phone Number
-
Area Code
Phone Number
What is your time zone?
Academy Member Number
Are you an active AAPI MIG member?
Yes
No
Academy Member Category
Active
Retired
International
Student
International Student
Associate
How long have you been an AAPI member (including formerly CADN or FADAN member)?
Less than 1 year
2 - 4 years
5 - 7 years
8 - 10 years
More than 10 years
Which position(s) would you like to be considered for?
Chair-Elect
Secretary
Treasurer
Nominating/Awards Committee
HOD Delegate
Diversity Liaison
Communications Committee
Membership Committee
Professional Development Committee
Are you currently holding or considering another elected or appointment position with an Academy DPG, MIG or State Affiliate? If yes, please specify.
Does your schedule allow you to commit to a leadership role? Depending upon the position and season, the time commitment varies.
Yes
Maybe
No
Comments
Tell us about your contributions to the field of nutrition and dietetics.
0/300
What would you want our members and the AAPI MIG Leadership Team to know about you?
0/300
Describe how you would advance the work of AAPI MIG.
0/300
Would your employer be supportive of your volunteer time commitment as a leader within the MIG (participating in daytime committee calls, attending FNCE®, etc.)?
Yes
Maybe
No
Comments
Does your employer prohibit you from performing any functions of the position (for instance, federal government employees may be prohibited from handling any financial transactions)?
Yes
No
Comments
Optional: Please use this space to discuss any concerns or comments about the application process.
0/300
Please upload your current CV/resume', brief bio, and headshot photo.
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