Emerging Leader Nominations

Purpose:

To identify and honor one physical therapist or physical therapist assistant “emerging leader” from each APTA component, who has demonstrated extraordinary service early in his or her physical therapy career. The individual should have made exceptional overall accomplishments and contributions to the American Physical Therapy Association the component, and the physical therapy profession to advance APTA’s vision.

Eligibility:

The nominee must be a current member of APTA for at least five years and no more than ten years from formal graduation.
The nominee must have current or prior service on one or more appointed or elected groups at the component or national level.

Nominee Name

Nominee's Email Address

Nominee's Phone Number

Description of nominee's contributions.

Examples of demonstrated service to the Association, component, or physical therapy profession.

Explanation of the potential for future contributions to APTA and the physical therapy profession.

Examples of how the nominee has advanced activities at the Academy of Education.

Description of the outcome of the contributions and how the contributions align with Academy of Education or APTA goals, objectives, and vision.

Upload the nominee's CV here.

Drop your files here

Name of Person Submitting Nomination

Email of Person Submitting Nomination

To receive an email copy of this submission form, please check the box below "Send me a copy of my responses" prior to submitting your entry. This form can not be edited once submitted. For questions, please contact academy@aptaeducation.org.

Send me a copy of my responses

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