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Thursday, March 11, 2010

..:: Membership » Membership Application ::..

Letter to Applicant

Dear Prospective Member:

Thank you for inquiring about membership in the Association of Postgraduate Physician Assistant Programs, Inc. We appreciate your interest in our organization and look forward to assisting with your application.

Please review on this web site, information regarding the application process. You should review the "Responsibilities of Membership" and "Membership Application".

In submitting your application, please be advised that new programs are considered for membership on a rolling basis. Your completed application will be reviewed by the Executive Committee and you will be notified of membership status within 30 days. You will receive a dues invoice for the current fiscal year and will be added to the APPAP.org website.

It is important that the application for membership be as detailed as possible and include basic goals and objectives for the didactic and clinical components of the program as well as other information requested. The final application must be submitted via E-mail attachment to: APPAP, Inc. New programs are strongly encouraged to have representation at the Annual Business Meeting.

We look forward to receiving your application and encourage you to request additional information if needed. Please feel free to contact appap@appap.org or 703-778-5570 if you have questions or need further information.

Sincerely,

APPAP Administration

Dear Prospective Member:

Please review on this web site, information regarding the application process. You should review the "Responsibilities of Membership" and "Membership Application".

Sincerely,

APPAP Administration

Online Membership Application

Please fill out this online form to submit your application for membership.

First Name:

Last Name:

Address:

Unit:

City:

State:

Postal Code:

Telephone:

Cellular Phone:

Work phone:

Fax:

How did you hear about us?:

Program Name:

Program E-mail address:

Program Specialty:

Please Choose A Specialty From The Dropdown List.

Length of Program (Months):

Number of PA's in Each Class:

Program Director:

Program Director E-mail address:

Program Director Phone:

Select Membership Class:

Please Choose A Membership Option From The Dropdown List

Send us your comments or questions upon submission of the application

Additional Comments:

Submit

Membership Application Requirements

New Provisional Program Members:

(1) A two-paragraph general description and history of the program.
(2) Curriculum outline - include goals and objectives for didactic and clinical components. (3) University and Institutional Affiliations
(4) Admissions process and timetable. Include entry requirements, selection criteria, whether or not an interview is required and program starting date.
(5) Credentials Awarded (i.e. certificate, degree, credit toward degree)
(6) Financial Information including:

Fees/tuition or salary/stipend
Benefits (medical/dental/life insurance/vacation, etc.)
Financial aid, including veterans benefits, if applicable
Housing
Expenses (books, equipment, etc.)

New Active Program Members:

Application should be submitted along with a program brochure, if not already on file, and the following information:

(1) Date of graduation of first class
(2) Number of graduates of first class

Inactive Program Members:

Application should be submitted along with the following information:

(1) Date of temporary suspension of program and anticipated duration of suspension
(2) Reason for suspension of program