APhAAcademy of Student Pharmacists

Standing Committee Application

GENERAL INFORMATION AND ELIGIBILITY

The Standing Committees of APhA-ASP are as follows: Awards, Communications, Education, International, and Policy Standing Committee.

Any student member who has demonstrated leadership qualities within their own chapter is eligible for appointment. Current APhA-ASP Regional and National Officers are not eligible to be appointed to a Standing Committee. Appointments are made by the APhA-ASP National Executive Committee during their January Business Meeting. All applicants will receive notification of the status of their application by February 1, 2015.

The term of appointment is from the APhA2015 Annual Meeting to the APhA2016 Annual Meeting; therefore, applicants must have agraduation date of April 1, 2016 or later. Members of the Awards Standing Committee will serve from the APhA2015 Annual Meeting to July 15, 2016 in order to assist chapters with reporting.

All APhA-ASP appointed committee members are to remain in their first professional degree program during their complete terms of responsibility.Standing Committee Members occasionally are required to attend meetings and conferences during the school year. No monetary or material awards are provided to APhAASP Standing Committee Members.

Appointees must have a satisfactory record of academic performance (minimum 2.5 GPA on a 4.0 scale,and noncurricular) and understand that the responsibility of being appointed to a committee will not negatively affect their current academic standing. Appointees must maintain a satisfactory record of academic performance (minimum 2.5 GPA on a 4.0 scale,and noncurricular) throughout the term on the committee. Failure to do so may result in removal from the committee.

Serving as an APhAASP Standing Committee Member is rewarding and satisfying, both professionally and personally. At times, serving as a Standing Committee Member may be a very difficult and demanding job, but the position is meant to complement, not compete, with educational responsibilities. A Standing Committee Member’s education always takes the higher priority.

Permission from your APhA-ASP Chapter Advisor is required, and he or she must sign the application verifying that the information submitted is true and that the applicant has demonstrated leadership qualities that qualify him/her for an APhA-ASP Standing Committee appointment. If appointed, the student must have full support of the school administration.

DEADLINE AND REQUIRED MATERIALS

Please read through the entire APhA-ASP Standing Committee Position Descriptions prior to completing the application. Type the application and use only the space provided. Do not includeadditional pages. All sections of the APhA-ASP Standing Committee Application need to be submitted to APhA Headquarters via email (to the APhA-ASP Inbox at ) by no later than 11:59pm (PST) on December 1, 2014. These sections include (please initial):

___ APhA-ASP Standing Committee Application

___ Digital-quality headshot (jpeg/tiff/etc.)

___ CV or resume

___ Unofficial transcript

___ Up to 2 letters of recommendation

Make a copy of the entire application for your records.

Print or type the application and adhere to the word limitations provided. Do not includeadditional materials.

If you have any questions or concerns regarding the application for APhA-ASP Standing Committee, please contact:

Applicant’s Name: ______Page1 of 6

Crystal Atwell, PharmD

APhA Director of Student Development

Phone: 202-429-7586

Email address:

LynettePlowden

APhA Manager, Student Development

Phone: 202-429-7514

Email address:

Applicant’s Name: ______Page1 of 6

MEETING TIMELINE

Event / Event Date / Standing Committee / Encouraged to Attend / Required to Attend
APhA2015 / March 27-30, 2015 / C, E, I, P / Yes / —
Academies Leadership Meeting / April 24-26, 2015 / C, E, I, P / — / Yes
Summer Leadership Institute / July 2015 / A, C, E, I, P / Yes / —
World Congress / July 30-Aug 9, 2015 / International / Yes / Yes*
Midyear Regional Meetings / Oct/Nov, 2015 / C, E, I, P / Yes / —
Awards Committee Meeting / Nov, 2014 / Awards / — / Yes
APhA2016 / March 4-7, 2016 / A, C, E, I, P / — / Yes

* Denotes Contact Person

APhA Academy of Student Pharmacists

Application for Appointment to Standing Committee

SECTION I – CONTACT INFORMATION

A. Standing Committee of Interest: (if you are interested in multiple Committees, please rank your choices 1 through 5)

Awards _____ Communications _____ Education _____ International _____ Policy _____

In addition to selecting a committee if you are interested in serving as vice chair check below:

Vice Chair ______

International Committee:

SEO-Elect (2 year position) _____ Contact Person _____ Project Coordinator _____

B. Name:

______

(Last)(First)(Middle or Middle Initial)

  1. Name of School of Pharmacy you attend / anticipated graduation date:

______

D. Address (February/March):

______

(Street) (Apt. No.)

______

(City) (State) (Zip)

______

(Home Number with Area Code) (Mobile Number with Area Code)

______

(Email Address)

  1. Do you plan to attend the APhA2015 Annual Meeting Exposition in San Diego, California?

Yes _____ No _____

  1. Will your school or college of pharmacy schedule and school administration allow you to attend the APhA Academies Leadership Meeting,April24-26, 2015?

Yes _____ No _____

SECTION II – BACKGROUND & EXPERIENCE

  1. List any previous leadership experiences you have had on the international, national, state and local levels. Be sure to include any specialized talents, or skills, along with all pertinent information that indicates your qualities to fulfill the appointed position you seek. Also, specifically list any positions you have previously held in APhA-ASP on the local, regional, national, and/or international level.

(500 words)

  1. Please describe why you would like to serve on the ______(please fill-in) Committee(s) and what contributions you will make to benefit the American Pharmacists Association and the APhA Academy of Student Pharmacists? (500 words)

SECTION III – STATEMENT OF CONSENT

I am aware of the responsibilities outlined for the American Pharmacists Association Academy of Student Pharmacists (APhA-ASP) Standing Committee position to which I am seeking appointment.

If appointed, and I find that I am unable to fulfill the duties for that position; I understand that APhA has the authority to replace me with a qualified applicant.

If appointed, I agree to serve APhA and APhA-ASP to the best of my ability and to the best of my knowledge.

If appointed, I agree to serve APhA and APhA-ASP with sound moral and ethical judgment and understand that APhA may remove me from my position if my actions violate sound moral and ethical judgment.

If appointed, I understand that I, upon the discretion of APhA, I may have to resign from any local, regional, national, or international positions held in APhA-ASP or other pharmacy associations.

I have read, understand, and will comply with the APhA-ASP Standing Committee Position Descriptions.

I am currently in good academic standing at my school or college of pharmacy.I understand that if appointed to the position, I must maintain successful academic performance throughout my term in office.

I understand that my picture, email address and qualifications may be posted on the APhA-ASP website, used in APhA-ASP publications and will be utilized during the APhA Annual Meeting.

I understand that APhA reserves the right, upon its discretion, to remove any elected or appointed officer from their position.

I agree that all statements on this application are true. I understand that any false statements or the failure to complete this application accurately may result in my disqualification as a candidate for an APhA-ASP elected or appointed position.

Signature of applicant:______

Please print name here:______

Date signed:______

SECTION IV – CHAPTER ADVISOR’S APPROVAL

Dear APhA-ASP Chapter Advisor:

One of your students, ______(applicant’s name), is seeking a standing committee position in the American Pharmacists Association Academy of Student Pharmacists (APhA-ASP). All APhAASP elected or appointed officers are to remain in school during their terms of office and occasionally attend meetings and conferences during the school year. At times, serving as an APhAASP Standing Committee Member is a difficult and demanding job, but the position is meant to complement, not compete, with a student’s education. An elected or appointed officer's education always takes the higher priority.

The APhAASP National Executive Committee and APhA staff would like to know if you support this individual's efforts to seek a standing committee appointed position. After reviewing the information submitted by the applicant, please sign this form if you can attest that:

  • The applicant, as a student in your school or college of pharmacy, has a satisfactory record of performance (academic: minimum 2.5 GPA on a 4.0 scale, and noncurricular);
  • That the responsibility of being appointed as an APhA-ASP Standing Committee Member will not negatively affect the student's current academic standing;
  • That the student is capable of fulfilling his/her responsibilities as an APhA-ASP Standing Committee Member;
  • That the student is of sound moral and ethical judgment; and
  • That, if appointed, the student will have the full support of the dean and chapter advisor(s) of your school or college of pharmacy.

In addition, please understand that if appointed to this position, it will be necessary for the student to travel throughout the year. The student is required to attend the APhA Academies Leadership Meeting in Washington, DC (three days in April or May), the APhA Annual Meeting and Exposition (five days in March) as well as participate in the APhA-ASP Midyear Regional Meetings (three days in October or November).

Signature of advisor:______

Please print name here: ______

Date signed:______

Applicant’s Name: ______Page1 of 6