OAPPLY TO ATTEND NATIONAL ADVOCACY DAY
5113 Georgia Ave, NW
Washington, DC 20011
ph: 202-882-2881
healthpolicy@snma.org
Counter
Web Hosting by Yahoo!
Applicant Responses:
Please respond to the following questions.  Responses should be limited to 250-500 words per
question.  Consider typing your response in another program and cutting/pasting into this
form.
1.        Why would you like to participate in National Advocacy Day 2010?
2.        What do you hope to gain from this experience?
3.        What skills or knowledge do you wish to bring back to your community
           after participating in National Advocacy Day?
4.        In what ways have inequalities, injustice, or disparities affected you or
           someone else you may know?
Application Checklist:
Please check that the following are ready to be submitted with your application:
Applicant Responses
CV/Resume
Please Note:
Late applications may not be considered.  All communications from the selections
committee will be conducted via email.

You will be notified of your selection no later than May 16, 2010 if documents are
submitted by the stated deadline.
No experience necessary, only enthusiastic members need apply.
NATIONAL ADVOCACY DAY
2010
Deadline for Submission is May 10, 2010