Membership Interest Form Thank you for your interest in getting involved in the Tennessee Academy of Family Physicians. Please complete the following information to indicate where you would like to plug in to your state chapter and staff will follow up to help connect you with the right opportunities. Contact TNAFP Director of Member Services Karen Baird (615.370.5144 or kbaird@tnafp.org) if you have questions or need assistance.Name(Required) First Last City(Required)Email(Required) Phone(Required)Member TypeActiveLifeResidentStudentPlease indicate which TNAFP committees are of interest to you (check all that apply).(Required) Diversity and Inclusion Education Legislative and Government Affairs Tennessee Family Physician Editorial Board not interested in volunteering for a committee at this time Please indicate your level of interest in TNAFP's advocacy for family physicians and family medicine (check all that apply).(Required) participating in Lobby Days at the state legislature contacting my elected officials and building relationships for TNAFP advocacy publicly representing family physicians on an important healthcare policy issue (e.g. testifying in legislative committee, writing an opinion piece in the media, etc.) representing TN family physicians through AAFP's federal advocacy not interested in advocacy at this time Are you interested in representing your geographic area as a volunteer leader on the TNAFP Board of Directors or Congress of Delegates, or serving as a committee chairperson?(Required)Yes, I'm interested in a leadership position.Maybe, would like to learn more.No, not interested at this time.Would you like TNAFP to consider you as a subject matter expert who can present on a relevant clinical or business topic for CME?(Required)Yes, please contact me to discuss details.No, not interested or qualified.Please share any additional comments about ways you would like to get involved in TNAFP.
