2025 Board Nominations Form
Name
*
First Name
Last Name
Suffix
Primary Email
*
example@example.com
Practice/Organization Name
*
Practice/Organization Website
Address
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
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Aruba
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Austria
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The Bahamas
Bahrain
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Belize
Benin
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Bhutan
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Bosnia and Herzegovina
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Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
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Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Phone Number
Please enter a valid phone number.
Which Board position are you submitting yourself for nomination?
*
Director
President-elect
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AAFP Sponsors
All applicants must have at least one, preferably two, active AAFP Members as sponsors for their candidacy. Please provide the names and email addresses of the AAFP Members who will sponsor your application.
Sponsor Name
*
First Name
Last Name
Suffix
Sponsor Email
*
example@example.com
Sponsor Name
*
First Name
Last Name
Sponsor Email
*
example@example.com
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Professional Information
Current resume/CV
*
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Please provide a .pdf or .doc copy of your most current resume/CV. Please ensure that your CV outlines your veterinary school, pre-veterinary school, any other relevant educational experiences, publications, honors, awards, and any certifications or professional designations held.
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Your position in practice
*
Practice size (number of doctors, veterinary technicians, total employees)
Type of practice/philosophy
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Volunteer/Professional Service
Provide a detailed list of AAFP involvement, to include: how long you have been an active member; the AAFP meetings you have attended in the last 5 years; and any service on AAFP committees/task forces.
*
Other organized veterinary association involvement
Other volunteer/community organization involvement
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Statement of Intent
Briefly state your reasons for seeking a position on the AAFP Executive Board and the goals that you hope to see accomplished during your service.
*
Please elaborate on your skillset and experience that would contribute to you being an effective Board Member. Please refer to the "AAFP Board Roles and Expectations" document for additional information.
*
Please indicate if you have any Conflicts of Interest to share.
*
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Additional Information
Gender
Please Select
Female Cisgender
Male Cisgender
Nonbinary
Transgender
Intersex
Prefer not to say
Prefer to self-describe
Age
Please Select
18-29
30-39
40-49
50-59
60-69
70 or older
Race/Ethnicity (Select all that apply)
Black
African American
American Indian/Alaska Native/Indigenous American
Asian American
Native Hawaiian/Pacific Islander
Asian
Biracial/Multiracial
Caucasian/White
Hispanic/Latine
Non-Hispanic/Non-Latine
Prefer not to say
Core Competencies/Skills (Select all that apply)
*
Strategic thinking
Public speaking
Written communications
Social media savvy
Team player
Creative thinker
Responsive
Leadership
Marketing
Academia
Sees both cats and dogs
Feline-only practice
Problem-solving
Networking
Visionary
Project management
Governance
Finance/accounting
Organizational structure
Market research
IT/Big Data/Technology
Practice Management
Practice Ownership
Research Studies
Publications
Managing Volunteers
Board Fiduciary Awareness
Event Planning
Other
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