WEL 3.0 Cohort Application

Thank you for your interest in the Women’s Wellness through Equity and Leadership project (WEL). Please complete the following application questions. Please note the first WEL kickoff meeting will take place February 20-21, 2024, and will be held in person at AAP Headquarters in Itasca, IL.

1. Applicants must be active members of the AAFP.

Name

Street Address

City, State, Zip

Phone Number

Email Address

Organizational Affiliation

Current position/title

Preferred Pronouns

Number of years since completion of family medicine residency