AWARD NOMNEE REQUIREMENTS

If you would like to submit a nomination for more than one person, please complete a separate form for each nominee.

All nominations are due on February 21, 2025.


Olive C. Farr Distinguished Service Award
  • Include a detailed explanation of how the nominee (PT) meets the following qualifications:
    • Membership (Active) in good standing for at least four consecutive years
    • Demonstrated professional accomplishments
    • Participation in APTA Iowa activities
    • Contribution to the clinical or scholarly growth and advancement of the profession.


Physical Therapist Assistant Distinguished Service Award
  • Include a detailed explanation of how the nominee (PTA) meets the following qualifications:
    • Membership in good standing for at least four consecutive years
    • Demonstrated professional accomplishments
    • Participation in APTA Iowa activities
    • Contribution to the clinical or scholarly growth and advancement of the profession.

Max Shelton Friend of APTA Iowa Award
  • This award recognizes individuals (or organizations) other than PTs/PTAs for exceptional service to the physical therapy profession in Iowa.
  • Include a detailed explanation of how the nominee meets this criterion.

Clinical Research Award
  • This award recognizes achievement in clinical research in physical therapy.
  • The nominee should be a member who has had the results of research published during the preceding 12 months.
  • The publication must not be the obligatory requirement of an academic degree.
  • Include a detailed explanation of how the nominee meets this criterion.
Member Making Nomination
Provide your information below.

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* 1. Your Name

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* 3. Phone Number

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* 4. Address

Nominee Information
Provide your nominee's information.

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* 5. Nominee Name

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* 7. Nominee Phone Number

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* 8. Nominee Address

Category Selection
Select the award for which you are submitting your nominee.

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* 9. Award

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