WAFP-Foundation Board of Directors Application

Name Name First Last
Credentials
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Review the WAFP-F Conflict of Interest Disclosure Policy

Click Here to Read the Policy
I do not have a conflict of interest, as described above. I do not have a conflict of interest. However, in the spirit of full disclosure and in the event that such information would be deemed relevant by others, I have listed my activities/interests/affiliations below. I do have a potential conflict(s) of interest and I have listed such conflicts(s) below.
Please list any activities that you wish to disclose that may constitute a conflict of interest. Provide all relevant information including:

1) the nature of those activities which you are listing
2) the types of financial arrangements (if any) between you and any third parties involved in those activities
3) a description of the business or purpose of such third parties
List activities/interests/affiliations below
Please select the positions you are interested in applying for:

Please select the positions you are interested in applying for: President Vice President Treasurer Director Resident Director Student Director
Upload a 2-page summary CV. If more than 2 pages are uploaded, only the first 2 pages will be shared with the Nominating Committee

Attach Files
Describe your past involvement in WAFP and/or WAFP-Foundation (if applicable)
Describe your past involvement in AAFP and/or AAFP-Foundation (if applicable)
Statement of Interest in serving on the Board
What perspectives and skill set would you bring to the Board?

WAFP-Foundation Board of Directors Application

WAFP-Foundation Board of Directors Application

Review the WAFP-F Conflict of Interest Disclosure Policy

Please list any activities that you wish to disclose that may constitute a conflict of interest. Provide all relevant information including: