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Hello PTMM Ambassador! Please complete the PTMM Event participation form and include all student recruitment and/or community engagement events you have participated in this quarter.

Please know that only one Ambassador from your program needs to complete this form - either the Faculty Ambassador or Student Ambassador.

Even if you did not participate in any events this quarter, please complete the form and select No. You also can give us suggestions such as ideas for materials and resources that will be helpful, feedback on the PT Moves Me Ambassador Program, and anything you need assistance with.

If you have any questions please email studentrecruitment@apta.org.

Ambassador Type

STUDENT RECRUITMENT/COMMUNITY EVENT INFORMATION

Did you have any Activity/Programming related to student recruitment or community engagement this quarter?

IF YES, PLEASE ENTER THE INFORMATION BELOW FOR AS MANY EVENTS YOUR PROGRAM PARTICIPATED IN THIS QUARTER ONLY

Event 1 Type
Geographic Outreach for Participants
Event Set Up
How often does this program take place?
Type of engagement
Target Population
Volunteers/Hosts: Please select the option that best describes organizers and those who run/execute this program.
Materials Used
I give APTA permission to include this event in the Annual Student Recruitment report.
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