Support AIPNA Initiatives

Please click on the appropriate link below and share the reason for your interest, your email and telephone for contact and relevant experience to help enhance AIPNA and its activities.

 
Specify the committee of your interest

 

Name

 

Email id

 

Phone

 

What makes you a good candidate

 

Upload your CV

 

 

 

 

  • Ideally a 6-month advance notice period will be appreciated.
Name and Address of Institution
 

 

City
 

 

State
 

 

Dates of hosting
From Date:
To Date:

 

Specify area of interest
 

 

Resources you will be able to provide; will this include lodging? Will there be a stipend?
 

 

Have you been a host before?
Yes No
 

 

Name
 

 

Email id
 

 

Phone