Answer the questions below. Leave any blank that you don't want to answer.

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* 1. What is your amazing name?

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* 2. What is your best email address?

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* 3. What is your street address or PO Box

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* 4. City, State, Zip Code

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* 5. List your degrees and colleges. in example:
M.S. Therapeutic Recreation, Indiana University, Bloomington, Indiana (2006)
B.S. Therapeutic Recreation, Marshall University, Huntington, WV (2004)

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* 6. List your licenses and certificates her. In example:
Licensed Rec Therapist (LRT)
Certified Therapeutic Recreation Specialist (CTRS)

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* 7. List any professional memberships here: In example:
ATRA
Skip if none.

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* 8. List any awards you've won:

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* 9. Why did you decideto become a recreational therapist?

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* 10. What setting do you work at?

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* 11. What ages do you provide services for?

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* 12. What population do you provide services for?

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* 13. What type of recreational therapy interventions do you provide?

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* 14. What do you enjoy about your profession?

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* 15. What recommendations do you have to offer new recreational therapists?

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* 16. Where do you see the future of rec therapy?

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* 17. Who is a recreation therapist who you admire and why?

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* 18. What other information would you like to share?

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* 19. What do you enjoy about Rec Therapy Today?
The different CEU opportunities!

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* 20. Upload a picture of you that you'd like shared with your feature.

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