Application for Chair, ASL Advisory Committee 2026

Name*

First Last Suffix

Institution*

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Application Upload

CV Upload*

Max. file size: 50 MB.

Cover Letter of Intent Upload*

Cover Letter of intent that includes the following: o Willingness to serve on the as ASL Advisory Committee Chair o Statement of commitment to attend all required meetings o Ability to structure time for participation in in-person and remote sessions with scholars and advisor meetings o Experience as a mentor for junior faculty o Summary of major educational responsibilities o Summary of APGO leadership responsibilities o Summary of educational scholarship completed or in progress o Dates of service as ASL Advisor o Ability to commit to serve in this capacity for a minimum of three years

Max. file size: 50 MB.

Letter of Endorsement from Chair (supervisor) Upload

Letters of support may also be emailed separately to ktoepper@apgo.org. Please email Kelly Toepper at ktoepper@apgo.org if you are having file upload issues.

Max. file size: 50 MB.

References

The names and contact information of five individuals, including two mentees, who may be contacted as references

Reference 1 Name*

First Last Suffix

Mentee?

Yes
No

Reference 1 Phone*

Reference 1 Email*

Reference 2 Name*

First Last Suffix

Mentee?

Yes
No

Reference 1 Institution*

Reference 2 Institution*

Reference 2 Phone*

Reference 2 Email*

Reference 3 Name*

First Last Suffix

Mentee?

Yes
No

Reference 3 Institution*

Reference 3 Phone*

Reference 3 Email*

Reference 4 Name*

First Last Suffix

Mentee?

Yes
No

Reference 4 Institution*

Reference 4 Phone*

Reference 4 Email*

Reference 5 Name*

First Last Suffix

Mentee?

Yes
No

Reference 5 Institution*

Reference 5 Phone*

Reference 5 Email*