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Do you know an outstanding clinical instructor or therapist whom you would like to nominate for recognition? Three awards are given annually:

1. Award For Clinical Excellence
2. Helen King Excellence In Clinical Teaching Award
3. President's Award

Select an award above for a more detailed description.

The following person is nominated for consideration for the following award:
(Please select one)
Nominee:
Address:
Educational Background:

Professional Experience:

Please provide a support statement describing why you believe this nominee is deserving of this award.
Nominated By:
Telephone:
In The Capacity Of: (please select one)
 
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Maine Chapter American Physical Therapy Association
PO Box 1783
Portland, Maine 04104
Phone/Fax (207) 799-1584
president@meapta.org

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