CAFP Engagement Interest Form

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CONTACT INFORMATION

The CAFP Engagement Interest Form will ask you your interest in four key areas:
  1. As a Key Contact for Legislative Action
  2. Involvement in a CAFP Committee
  3. Teaching a course at a CAFP live or virtual event
  4. Being a CAFP Media Spokesperson
You will be asked to include biographic information, including: uploading a recent CV, a recent headshot, and a brief bio.

You will then be asked to provide your practice experience and areas of expertise.

Please complete this form and press "Send" when you're done. Your submission will be sent to CAFP staff and forwarded appropriately for processing. 

Review the CAFP Privacy Policy here. Questions? Email cafp@familydocs.org.
Contact Information






By signing up, you agree to receive recurring text messages (e.g. legislative action alerts) from the California Academy of Family Physicians at the mobile number used when signing up. If you do not wish to receive text messages regarding Key Contact alerts or other CAFP member related notifications, please contact CAFP to opt-out. Message frequency varies. Message and data rates may apply. Contact CAFP at cafp@familydocs.org for more information.

ENGAGEMENT INTEREST

How would you like to become engaged with CAFP? (check all that apply)

BIOGRAPHIC INFORMATION


More about you:

If you receive an error in uploading your CV, please email a copy to cafp@familydocs.org.

If you receive an error in uploading your headshot, please email a copy to cafp@familydocs.org.

Current or Past Leadership

JEDI Perspective

PRACTICE & EXPERTISE


Practice Information



Expertise Information
In the Expertise Information section, please select items for which you currently have expertise. Select all that apply.








KEY CONTACT INTEREST

We have exciting news to share with you – CAFP has launched a NEW Key Contact Program!

Our revamped program is designed to offer you an even more enriching experience, with exclusive opportunities, specialized trainings, and insider insights, including:
  • Expanded Learning Opportunities: Sharpen your advocacy skills, gain insights into new legislative developments, and stay at the forefront of policies affecting family physicians.
  • Exclusive Events: Be the first to access our quarterly events from our brand new Sacramento headquarters, providing you with insider information and networking opportunities.
  • Impactful Advocacy: Your voice matters. Renewing as a Key Contact allows you to continue being a leading advocate, representing Family Physicians in decision-making spaces.
To stay involved you will need to renew your interest by completing this form, even if you previously (before 2024) signed up to become a Key Contact. 
Expectations
Getting Started: Tell Us About Your Advocacy Expectations and Experience





Experience
Please respond to the following advocacy strategies with the response that best describes you. 





Engagement
Diving In: Tell Us More about Where You Want to Be a Key Advocate





COMMITTEE INTEREST

CAFP Committees

AAFP - National Conference of Constituency Leaders (NCCL)



TEACHING INTEREST

Beginner Intermediate Advanced
Often Sometimes Rarely Never


MEDIA SPOKESPERSON INTEREST