PTA Caucus Nomination Form
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2019 - 2021 PTA Caucus Nomination Form


Nominations are being accepted for representatives to the 2019-2021 PTA Caucus.


Instructions: The completed form must be received in the Chapter office by December 17, 2018 at 5:00 p.m.  There will be no exceptions to this deadline.  Submissions are automatically directed to the Chapter office.


Qualifications: Only Physical Therapist Assistant or Life Physical Therapist Assistant members who have been APTA members for one year immediately preceding election may serve as Chapter Representative.

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