Board of Examiners Application

The APTA Maryland has been asked by the Governor’s Appointment Office (GAO) to nominate APTA Members who are diverse, energetic, enthusiastic, and who can meet the time commitment required.

The Maryland Department of Health is requesting that the APTA of Maryland submit a list of nominees by March 1.

The Nomination Process

Complete the information sheet below for APTAMD Board review.
The Board will review all applications by February 1.
If approved for nomination, you will complete the GAO online application and the Appointee Exemption Disclosure form. The State Ethics Commission highly recommends that applicants request exemptions for employment on the AED form and request a financial disclosure exemption if they or co-own a business.

Name

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Address

Street Address Address Line 2 City State ZIP Code

Preferred Email

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Personal Statement: This may include why you are seeking this position, your qualifications and ability to serve.

Upload Resume or CV

Max. file size: 300 MB.

APTA Maryland, Inc. Activities (state/district offices/committees):

APTA Activities (offices/committees/sections/other involvement):

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Board of Examiners Application

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