Executive Committee Application Form

CASSIG Executive Board Application

Name

First Name

Last Name

Phone Number

(###)

###

####

APTA Membership ID Number

Position Applying For

Academic Program

Program Type

Current Year in Program

Month and Year of Graduation

Why are you applying to run for the position that you indicated above?

(One-page limit, single-spaced, 12-point Times New Roman font)

What experiences and qualifications will make you a successful member of the executive board?

(One-page limit, single-spaced, 12-point Times New Roman font)

What is your vision for the Student SIG and how can you help accomplish that as a member of the executive board?

(One-page limit, single-spaced, 12-point Times New Roman font)

Would you be open to running for a different position than the one you are applying for? If so, which position and why?

(One-page limit, single-spaced, 12-point Times New Roman font)