AHPBA Chapter Support Request

Chapter Support Request

The AHPBA is committed to supporting its Chapter Meetings by providing leadership presence and engagement. Requests for leadership support must be made at least 9 months in advance of the Chapter Meeting. AHPBA will support up to three Chapter Meetings in non-LATAM Regional Meeting years. Chapters may request the attendance of an AHPBA Officer or an Officer-designated leader at their meeting. AHPBA will cover the airfare costs for the Officer or Officer-designated leader, while the local program is responsible for providing housing and registration. Requests will be reviewed on a first-come first-served basis.

First Name *This question is required.

Last Name *This question is required.

Email *This question is required. This question requires a valid email address.

Chapter Name *This question is required.

Meeting Date(s) *This question is required.

Meeting Location *This question is required.

Local Organizing Committee Contact Name *This question is required.

1. Will the planning committee ensure diversity amongst the participants, which is a core value of the AHPBA? *This question is required.

Comments

Number of Persons Requested to Attend *This question is required. This question requires a valid number format.

Names of Persons Requested to Attend

Support Request Details: Specialty Requested (i.e. liver, pancreas, etc), Meeting Theme, etc.