Nomination of Officers


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2009 elections will take place at the Fall Chapter Meeting on November 6th and 7th. The following positions are open:

You may nominate a colleague or yourself for any of these positions by:

Completing the form below
Contacting the chair of the Nominating Committee:

kate.violette@gmail.com
Kate L. Violette, PT, DPT, OCS, CSCS
Traveling Physical Therapist
P.O. Box 2214
Augusta, ME 04338
Printing the nomination form and sending to the Nominating Committee Chair (address: )

Nomination Form:

Candidate Profile/Consent Section
Nominee:
Home Address:
Business Address:
Home Phone:		Business Phone:
Educational Background:	(Include Advanced Clinical Competencies)
Professional Experience:
Experience related to the Association (State, Section, National):

Candidate Response Section:
Please take a few moments to respond to the following two questions. Limit your response to 200 words or less. The candidate response questions following will appear in the summer newsletter.
Question #1: What do you see as the major issue(s) facing the Maine Chapter of the APTA?

Question #2: What goals might address these issues?

Position:

You must be a Maine Chapter APTA member to nominate a collegue or yourself, please provide your membership number:

I grant permission for my name to be placed in nomination for an office in the Maine Chapter of the APTA. I agree to serve if elected.

All nominations are confidential. The Nominating Committee will contact the individual and discuss the position and obtain their consent.