To Apply: Complete this nomination
form for consideration

Purpose:

To identify and honor one physical therapist or physical therapist assistant as an “emerging leader”, who has demonstrated exceptional service to the chapter at state or district levels early in his or her career.

Prerequisite Criteria:

The nominee must:
1. Be an active member of the VPTA for at least 3 years and no more than10 from formal graduation.
2. The nominee must have current or prior service in committees or appointed or elected positions at the district or state level.

Supportive Narrative

A description of the nominee’s contributions:

1. Examples of demonstrated service to the chapter.
2. Explanation of the potential for future contributions to the chapter and physical therapy profession.
2. Examples of how the nominee has advanced activities at the district or state level.

The nomination should include a description of the outcome of the contributions and how the contributions align with chapter goals, objectives, and vision.

Selection
Process:

Nominations must be submitted to the Nominating Committee Chair 2 (two) months prior to the VPTA Annual Chapter Conference. The Nominating Committee will make the final selection with the knowledge of the State President.

Presentation:

The recipient will receive an engraved plaque, which will be presented at the VPTA Annual Chapter Conference. The recipient will also be nominated for the APTA Emerging Leader award if eligible.