Application and Election Information

Thank you for submitting your name for the 2021 Student Delegation for the APTA of Maryland.

DEADLINE: January 22, 2021

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* 1. Name

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* 2. Member ID

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* 3. E-mail

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* 4. School Information

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* 5. Please note if you are an SPTA or SPT

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* 6. I am qualified to serve as Student Delegate to the Maryland Delegation because (remember to include pertinent leadership experience and involvement in promoting the physical therapy profession):

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* 7. If appointed to be a student delegate, I hope to accomplish these 2-3 goals (please provide what resources you may use to accomplish these goals and if they are long-term):

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* 8. What has influenced you during your SPT/SPTA experience that has motivated you to want to become involved beyond the classroom?

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* 9. Other areas of my professional or community experience include:

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* 10. Candidate Statement: (please focus on why you intend to run for student delegate, what your strengths are, and what you hope to achieve)

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