TAPA Committee Application

The Texas Academy of Physician Assistants would like to make it easy for you to apply for a committee position.  Please fill out the following form and someone will contact you about your area of interest.  Don't worry if you do not have experience.  We welcome PAs interested in gaining experience!

Thank you.

First Name *

Last Name *

Email *
TAPA membership #
PA Program Attended *

 

Leadership History

Please list all the positions you have held in a PA organization as well as what years you served. 

Example: TAPA - Legislative committee member  - 1999-2000, Central Texas PA Society - Events committee member - 2000-2004.
PA Organization

 

Please list all the positions you have held in a community organization as well as what years you served. 

Ex: Big Brothers/Big Sisters - Big Brother - 1995-2000, Meals on Wheels- volunteer- 1998-2000.
Community Organization

 

Please list all the positions you have held in a national organization as well as what years you served. 

Ex: AAPA - Legislative committee member  - 1999-2000, AAPA- Events committee member - 2000-2002.
National Organization

 

Please list any additional positions or information you believe would be of interest to the committee chair receiving this information.
Other

 

Please choose the committee you would like to participate in.  If you are interested in multiple committees, please hold down the control key when clicking your selections.
Committee Preference