IAFP STUDENT CHAPTER ELECTIONS  

Would you like to represent the medical students of Illinois and be the student voice regarding the future of family practice?  Apply for a leadership role in the IAFP!  Just complete the enclosed application form along with a CV, and mail to the IAFP headquarters by May 15, 2007. All students in Illinois are invited to participate in the application process.  

The officer positions for which you can apply are as follows:

 President-elect: Assists the president in organizing student activities and Student Chapter meetings.  Represents students on the Foundation board of directors.  President-elect will serve as President for the subsequent term (July 2008 to July 2009).  

Requirements:  

  • attend all IAFP Foundation BOD meetings (usually conducted via conference call). 

  • attend the 2007 Family Medicine Forum (October in Oak Brook) and 2008 Preparing for Residency. 

  • attend FMIG meetings and other IAFP events as possible
 NCSM Delegate:  One medical student will be Illinois ’ delegate to the AAFP's National Congress of Student Members August 1-4 in Kansas City .  The selected student will represent Illinois ’ entire student body, attend the business sessions at the National Conference and network with other students attending the Conference from Illinois .  A written report will be required to IAFP upon your return.  Airfare/mileage will be reimbursed.
For more info on the National Conference, visit: http://www.aafp.org/online/en/home/cme/aafpcourses/conferences/conference.html

Please mail your application with a CV no later than May 15.  

Ginnie Flynn  
 4756 Main Street  
 Lisle , IL   60532  
630-435-0257/800-826-7944; fax: 630-435-0433; gflynn@iafp.com  

                                                 ILLINOIS ACADEMY FAMILY PHYSICIANS  
                                                         STUDENT CHAPTER OFFICER 
                                                                  APPLICATION FORM

NAME ____________________________________________________________________________

ADDRESS                                                                                                                                  

CITY                                                      STATE                                       ZIP                                

HOME PHONE #                                                E-MAIL ADDRESS:                                                      

MEDICAL SCHOOL                                                                      GRADUATION DATE                           

UNDERGRADUATE COLLEGE/UNIVERSITY                                                                                           

POSITION YOU ARE APPLYING FOR:                             _______  President-elect (2-year commitment)

(If applying for more than one, please rank order)     _______  NCSM Delegate

Explain why you would be a good candidate for a student officer position with IAFP?

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

Briefly describe the priorities you would emphasize in your role as a student officer to guide the student membership of IAFP.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 

Please list any memberships you have in professional and/or student societies and your involvement with these organizations:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

Please describe any involvement you have in community or volunteer activities:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

We encourage you to include a personal statement and/or a CV with this application.  Please return to: IAFP, 4756 Main Street , Lisle , IL   60532 , fax: 630-435-0433.  Questions?  Call Ginnie Flynn at 630-435-0356, ext. 118, or e-mail: gflynn@iafp.com.