Student Membership

Name: Student Membership
SKU: 39360
Availability: InStock

Student Membership

$0.00 for 1 year

Category: Memberships Tag: student membership

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

About You

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City ZIP Code

Preferred Method of Contact

Your NON ACADEMIC Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

PA School/Institution:(Required)

Expected Year of Graduation(Required)

Please enter expected graduation year

Subtotal
Options
Total

First payment: July 1, 2025

Description

A student member of this corporation shall be an individual who is a veteran and is currently enrolled as a Physician Associate student in a CAAHEP (or its successor organization) accredited program. Student members shall be accorded the privilege of the floor, when recognized, at regular meetings. Student members shall not be entitled to vote or hold office. Student members may serve on committees.

Students are required to contact us to verify that they are a student and provide evidence of veteran status.

Students are granted free membership during their time as PA Students and are encouraged to become Fellow or Lifetime members at graduation.