How To Help

How to Help
Starting A Chapter

Starting a Chapter: Step 1

Please provide the following information to start an AFPH Chapter in your school.
*All Fields Required

First Name

Last Name

Phone Number

Email Address

Home Address

City

State

Zip Code

School Name

School Address

City

State

Zip Code

Type of Institution Medical School Nursing School Residency Training Program

Other Health Professional Institution (please specify)

Year that you will graduate from your current School:

How many hours per week can you commit to an AFPH chapter in your school?

Why do you want to start an AFPH chapter in your school?
(500 word max)

Optional: Discuss your leadership experience and how that will assist you in starting an AFPH chapter in your school.
(500 word max)

Attestment

By typing my initials below, I certify that all information provided in this application is complete and factual, to the best of my knowledge. I understand that I will be required to comply with AFPH requirements in order to establish a chapter of AFPH.