Nomination Form for NPTA Awards

Please complete and submit this electronic form, and upload the nominee’s curriculum vitae (for the MES award), and letters of support no later than March 1, 2020. Awards will be presented at the 2020 annual conference.

With questions, email: Krista Cullen [email protected]

  Clinical Excellence Award-PT
  Clinical Excellence Award-PTA
  Achievement in Education Award
  Friend of Physical Therapy Award
  Mary Ellen Sacksteder Award

The following questions refer to the individual who is being nominated for an award. 

The following questions are for you, the person sending in the nomination.