If you are interested in becoming a member of our team, please fill out the application below. Applications are reviewed on a rolling basis. Email studentassembly@asahp.org if you have any questions.

Full Name

First Name

Last Name

Email Address

Current University or College

Professional program you are enrolled in

Year in the program (1st, 2nd, etc.)

Expected graduation date

MM

DD

YYYY

What does interprofessionalism mean to you?

How have you demonstrated leadership in healthcare?

What do you feel is your most attributable characteristic or strength to this organization?

Resume

Please include resume below or email it to studentassembly@asahp.org with subject "Board Application - (Last Name)". If emailing resume, please indicate below.

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