We are proud to recognize the exceptional achievements and contributions of APTA Kansas members. The Awards Committee invites your help in identifying deserving individuals. If you know a Chapter member who meets the criteria for one of the awards listed below—or believe you may qualify—please complete the attached awards nomination form and submit it to the APTA Kansas staff office. Awards are presented annually at the Spring and Fall Conferences.

Award nominations are due by February 20, 2026.

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* 1. Please indicate the award for which you are making a nomination:

Nominee’s Information

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* 2. Full Name

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* 3. Address

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* 5. Phone

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* 6. Designation:

Nominator’s Information

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* 7. Name

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* 8. Address

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* 10. Phone

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* 11. Membership #:

Support Statement Form
Please provide a typed support statement which details this individual’s contributions to The Physical Therapy profession and/or APTA Kansas which you feel merit(s) recognition for this award. The following page may be used to submit support statements.

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* 12. :

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