ACOFP-Upper Midwest Member Spotlight - Individual Registration

ACOFP-Upper Midwest Member Spotlight: Share Your Story

We’re excited to share more about the members of our ACOFP-Upper Midwest community. This is your chance to share your unique journey, insights, and achievements! We’d love to know more about what drives you, both professionally and personally, so we can highlight your story in our upcoming member features.

First Name *

Last Name *

Email *

Clinic/Organization *

City *

State *

Zip Code *

Phone *

School *

Please Upload Your Photo *

Please take a few minutes to thoughtfully answer the questions below. Your responses will help us craft a meaningful spotlight that showcases your contributions, passions, and the what’s important to you! While you don’t need to answer every question below, we’d love for you to respond to five or more.

What led you to pursue your career in Family Medicine?

What recent achievement or recent win would you like to share? And how were you inspired to pursue it

What impact has this achievement or recognition had on you, your organization, your career, or the community you serve?

Share a press release, or feature, that spotlights your recent win, work or contributions to Family Medicine by pasting the article’s URL here:

Are there any ongoing projects or initiatives you’re particularly excited about?

What’s a fun fact about you that most people don’t know?

How do you stay connected and give back to the Family Medicine specially or your local community?

What advice would you give to someone just starting in Family Medicine

How has being a part of ACOFP-UMW positively impacted you? *

I agree *

By submitting this online form, I understand and agree that ACOFP-UMW will have my contact details for the purpose of processing my information and ensuring full participation.

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