Open Call for NATA Foundation Committee Positions -Term Start June 2026 Scholarship

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* Contact Information

First Name *

Last Name

Credentials

Email Address

NATA District

NATA Member Number

NPI Number

BOC Number

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* Select the position you are applying for

Scholarship Committee Member

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* Please upload your Cover letter and CV.

Review the open call document to ensure you are including the requested information in your cover letter.

The Cover letter and CV should be condensed to one (1) electronic file with the cover letter being the first followed by the CV.