MOTA - Maryland District Collaboration

Thank you for taking the time to complete this short survey. MOTA is looking for ways to better connect local members and make sure that all areas in Maryland feel they have a voice within the OT community.

We are considering re implementing districts and district representatives within MOTA to increase leadership and networking opportunities. In the past Districts have delivered continuing education, networking opportunities, membership recruitment, and community outreach on the community level. We are trying to determine the needs and interests of our members. We value your feedback.

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* 1. What is your zip code?

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* 2. How far would you be willing to travel for an MOTA event?

5-10 miles

10-20 miles

20+ miles

Please share if you have any special travel concerns or cases where you would make an exception for expanded travel.

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* 3. In what types of events would you be interested in participating?

CEUs / Conference or educational opportunities

Networking and social gatherings

Volunteer opportunities or community events

Advocacy or legislative events

Other (please specify)

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* 4. Would you be willing to collaborate with the MOTA Executive Board to coordinate the creation of a MOTA district in your area?

If yes, please include your email or preferred contact information below

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

MOTA - Maryland District Collaboration

Question Title

* 1. What is your zip code?

Question Title

* 2. How far would you be willing to travel for an MOTA event?

Question Title

* 3. In what types of events would you be interested in participating?

Question Title

* 4. Would you be willing to collaborate with the MOTA Executive Board to coordinate the creation of a MOTA district in your area? If yes, please include your email or preferred contact information below

* 4. Would you be willing to collaborate with the MOTA Executive Board to coordinate the creation of a MOTA district in your area?

If yes, please include your email or preferred contact information below