ATTENTION ALL SECTION MEMBERS!

Membership in one or all of the Education Section Special Interest Groups (SIGs) is free.  Only Education Section members are eligible to join.  For further information, please contact Agatha Johnson at 800/999-2782 ext. 3237 or educationsection@apta.org.

 To join an Education Section SIG, send this membership application to:

 Education Section, APTA
1111 N Fairfax Street |
Alexandria VA 22314
703/706-8575 FAX
educationsection@apta.org

Name:              ___________________________________________________________

Address:           ___________________________________________________________ 

                        ___________________________________________________________

City:     ______________________    State:    ________        Zip Code:         ___________

Home Phone:    _______________________  Work Phone:    _______________________             

Email:               _______________________  APTA Member #:        _________________

I would like to join the Special Interest Group(s) below:

r     Academic Administrators

r     Academic Faculty

r     Clinical Educators

r     PTA Educators