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Recommendation for Academy Office Form - 2026

The Nominating Committee annually seeks recommendations for nominees for open, elected positions on the Board of Directors, Nominating Committee, and Special Interest Groups.

All APTA Geriatrics members may make recommendations or self nominate for office by submitting a Recommendation for Academy Office Form. The deadline for submitting forms for the 2026 elections is March 31.

You can submit up to 3 nominations on this form. For additional nominations beyond 3, please complete another form. Thank you.

Question Title

* 1. Nominator's Contact Information (person completing this form)

Name

State/Province

Email Address

Phone Number

Question Title

* 2. Who are you nominating

Myself

Someone Else