Academy of Orthopaedic Physical Therapy Involvement Form Question Title * 1. YES! I want to get involved in the Academy of Orthopaedic Physical Therapy! I’m most interested in (check all that apply): Continuing Education Finance Government Affairs Judicial Membership Nominating Publications Public Relations Reimbursement Technology Clinical Practice Guidelines Other (please specify) OK Question Title * 2. I am interested in participating/working with the following Special Interest Group(s): Occupational Health Foot & Ankle Pain Performing Arts Imaging Animal Physical Therapy Orthopaedic Residency/Fellowship OK Question Title * 3. What is your preference regarding time commitment during involvement? Short term project Long term project No preference Other (please specify) OK Question Title * 4. Do you have any experience working with committees, task forces or special interest groups? If yes, please list below: OK Question Title * 5. Your name: OK Question Title * 6. Your APTA ID number: OK Question Title * 7. Your Mailing Address: OK Question Title * 8. Your email address: OK Question Title * 9. Your daytime phone: OK SUBMIT