Application and Election Information

Thank you for submitting your name for the 2019 Student Delegation for the APTA of Maryland. APTAMD will pay for one SPT and one SPTA to attend the upcoming House of Delegates June 10-12 in Chicago, IL.

An online election including all nominees will take place January 29-February 2.

DEADLINE: Please submit your completed questionnaire via email aptamd@aptamd.org by January 28 at 11:59pm, EST (Late submissions will not be considered). E-mail  your Photo, and resume to aptamd@aptamd.org

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* 1. Name

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* 2. Member ID

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* 3. E-mail

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* 4. School Information

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* 5. Please note if you are an SPTA or SPT

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* 6. I am qualified to serve as Student Delegate to the Maryland Delegation because (remember to include pertinent leadership experience and involvement in promoting the physical therapy profession):

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* 7. If appointed to be a student delegate, I hope to accomplish these 2-3 goals (please provide what resources you may use to accomplish these goals and if they are long-term):

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* 8. What has influenced you during your SPT/SPTA experience that has motivated you to want to become involved beyond the classroom?

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* 9. Other areas of my professional or community experience include:

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* 10. Candidate Statement: (please focus on why you intend to run for student delegate, what your strengths are, and what you hope to achieve)

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