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CAPA Committee Interest Form

If you are interested in joining a CAPA committee, please complete this form and designate which committee(s) you would like to serve on. Committee members must be an active CAPA Member in good standing.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

Please enter your PA license number

Please select which committee(s) you are interested in serving on

CME Committee
DEI Sub-Committee
Public Outreach Committee
Professional Practice Committee
Early Career PAs Sub-Committee
PA Schools Sub-Committee
Membership Committee

Please briefly describe why you are interested in volunteering with CAPA include any past volunteer or committee experience.

Upload your current CV/resume or short bio.

20MB max
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