Skip to content
Search
Search
JOIN / RENEW
LOG IN
Search
Search
About Us
APTA CT Vision and Mission
Board of Directors
Committees
Delegates
Focused Interest Networks
Students
Chapter Awards and Recognitions
Why Join APTA CT?
Getting Involved
APTA CT Gear
Careers and Advertising
Career Center
Sponsorships / Exhibiting
About Us
APTA CT Vision and Mission
Board of Directors
Committees
Delegates
Focused Interest Networks
Students
Chapter Awards and Recognitions
Why Join APTA CT?
Getting Involved
APTA CT Gear
Careers and Advertising
Career Center
Sponsorships / Exhibiting
Continuing Education
APTA CT Events / Calendar
Annual Conference
Continuing Education Reviews / Approvals
APTA CT Approved Courses / CEU Locker Calendar
On-Demand Learning
Cancellation Policy
Dr. Katherine Harris Professional Keynote Address
Advocacy and Practice
State Legislation
Federal Advocacy
Payment Resources
Practice
Economic Value of PT
PT Compact
Research Participation
For The Public
Find a PT / ChoosePT
MyAPTA CT
Contact
Governance / Bylaws / Standing Rules
Elections and Nominations
State Practice Act / Continuing Competency Requirements
Forums
Workspace For Leaders
Member Newsletters
Continuing Education
APTA CT Events / Calendar
Annual Conference
Continuing Education Reviews / Approvals
APTA CT Approved Courses / CEU Locker Calendar
On-Demand Learning
Cancellation Policy
Dr. Katherine Harris Professional Keynote Address
Advocacy and Practice
State Legislation
Federal Advocacy
Payment Resources
Practice
Economic Value of PT
PT Compact
Research Participation
For The Public
Find a PT / ChoosePT
MyAPTA CT
Contact
Governance / Bylaws / Standing Rules
Elections and Nominations
State Practice Act / Continuing Competency Requirements
Forums
Workspace For Leaders
Member Newsletters
About Us
APTA CT Vision and Mission
Board of Directors
Committees
Delegates
Focused Interest Networks
Students
Chapter Awards and Recognitions
Why Join APTA CT?
Getting Involved
APTA CT Gear
Careers and Advertising
Career Center
Sponsorships / Exhibiting
About Us
APTA CT Vision and Mission
Board of Directors
Committees
Delegates
Focused Interest Networks
Students
Chapter Awards and Recognitions
Why Join APTA CT?
Getting Involved
APTA CT Gear
Careers and Advertising
Career Center
Sponsorships / Exhibiting
Continuing Education
APTA CT Events / Calendar
Annual Conference
Continuing Education Reviews / Approvals
APTA CT Approved Courses / CEU Locker Calendar
On-Demand Learning
Cancellation Policy
Dr. Katherine Harris Professional Keynote Address
Advocacy and Practice
State Legislation
Federal Advocacy
Payment Resources
Practice
Economic Value of PT
PT Compact
Research Participation
For The Public
Find a PT / ChoosePT
MyAPTA CT
Contact
Governance / Bylaws / Standing Rules
Elections and Nominations
State Practice Act / Continuing Competency Requirements
Forums
Workspace For Leaders
Member Newsletters
Continuing Education
APTA CT Events / Calendar
Annual Conference
Continuing Education Reviews / Approvals
APTA CT Approved Courses / CEU Locker Calendar
On-Demand Learning
Cancellation Policy
Dr. Katherine Harris Professional Keynote Address
Advocacy and Practice
State Legislation
Federal Advocacy
Payment Resources
Practice
Economic Value of PT
PT Compact
Research Participation
For The Public
Find a PT / ChoosePT
MyAPTA CT
Contact
Governance / Bylaws / Standing Rules
Elections and Nominations
State Practice Act / Continuing Competency Requirements
Forums
Workspace For Leaders
Member Newsletters
2025 APTA CT Awards Submission Form
Individual is being nominated for the following APTA CT Award:
Scholar Award
Innovation in Practice Award
Mentor Award
PT / PTA Team Award
Service Award
Name of nominee (please include all credentials):
Email of nominee:
Nominee's current place of employment / position
Reason for nomination
Name of Submitter
First
Last
Email of Submitter
(Required)
Personal References
Name of Reference 1
First
Last
Email of Reference 1
Name of Reference 2
First
Last
Email of Reference 2
Upload letters and CV here. We must have 2 letters and a CV to make this application complete. If you can upload a picture of the candidate as well, we would appreciate it.
Reference Letter 1
Max. file size: 300 MB.
Reference Letter 2
Max. file size: 300 MB.
CV of Applicant
Max. file size: 300 MB.
Picture of Applicant
Accepted file types: jpg, png, Max. file size: 300 MB.
