Student and Resident Board member App

2023 Student and Resident

President-elect Application

Deadline April 1

IAFP will support diversity, equity, and inclusion in all its forms, recognizing that these require an enduring commitment that must find full expression in our organizational culture, values, activities and behaviors.

Requirements of the President-elect: Serve as the Illinois delegate to the AAFP's National Congress of Resident/Student Members July 27-29 in Kansas City. The selected resident/student will represent Illinois’ interests, attend the business sessions and cast Illinois’ votes at the student and resident Congresses. IAFP will fund your conference registration and eligible travel expenses in accordance with our reimbursement policy.

A written report will be required to IAFP within 30 days of the conference to be posted on the IAFP Website. See 2022 Resident Report as an example.

Please also apply for the AAFP Foundation's scholarships for National Conference to help with your costs to attend. For more info on the National Conference, visit the AAFP National Conference website

Other Requirements: Join an IAFP committee or member interest group (if not already on one). Attend the 2023 Family Medicine Midwest conference Sept. 29-Oct. 1 in Naperville and help promote the conference to your colleagues.

Can be called upon to represent Illinois residents or students at various opportunities or asked to serve as a backup to the resident or student president at the IAFP board meetings and conference calls held throughout the year.

Name

First Name*

Last Name*

I am a*

Medical studentResident

Medical School*

Residency Program (if applying for resident board member)

Expected Graduation Year (students: medical school, residents: residency program)*

AAFP ID number*

Check if you have served any IAFP committee or Member Interest Group

CommitteeMember interest group

List specific committees or MIGs here

List any other IAFP Events or Activities here

Have you presented at or ever attended Family Medicine Midwest? Check all that apply

Mailing Address

Street Address*

Address Line 2

City

State*

Postal Code / Zip Code*

E-Mail*

Phone Number*

Please provide a maximum of 150 words explaining why you would like to be a student or resident leader.*

Please list any specific family medicine issues that interest you, that is not shown on your CV.

Please upload your CV here*

Browse Files

Student Eligibility Criteria

Resident Eligibility Criteria