AMTA-LA Positions Assigned by Chapter President

AMTA-LA COMMITTEE CHAIR POSITIONS & COMMITTEE VOLUNTEERS

Candidate Application
NOTE: POSITIONS APPOINTED BY CHAPTER PRESIDENT FOR A ONE YEAR TERM.

INSTRUCTIONS

All questions must be answered and your bio and headshot must be attached to your submission.

Thank you for your interest in serving on the AMTA-LA Board!
Name*

First NameLast Name
Louisiana Licensing Information*

Louisiana License NumberDate of Louisiana Licensure
Your AMTA Information*

Your AMTA NumberYears of AMTA Membership
Name of Massage School Attended*
E-mail*
Phone Number - Cell*

Area CodePhone Number
Phone Number - Work OR Home*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
POSITION APPLYING FOR (Please check only ONE)*

Awards ChairCommittee VolunteerCommunity Outreach ChairConvention Committee ChairConvention Registration ChairEducation Chair/Convention CoordinatorEvent PhotographerGovernment Relations ChairMembership ChairNewsletter Editor ChairOnline Elections CoordinatorSocial Media ChairWebsite Chair
Experience
AMTA Experience: Please list AMTA chapter or national offices held and/or committee work, including dates. If none, write “N/A.”*
What are your strengths andqualifications for this position? Include experience working withcomputers, websites, events,administration, etc.*
What do you see yourself contributing to this position?*
Community and/or Professional Experience*

Browse Files

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Photograph*

Browse Files

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Time Commitment
Number of hours you realistically can commit each week to AMTA-LA:*
Do you only want to participate if you can do so from home?*

YESNO
Do you enjoy making phone calls?*

YESNO
Do you enjoy organizing paperwork?*

YESNO
Do you want to volunteer at the AMTA-LA annual convention?*

YESNO
Do you like to organize events?*

YESNO
Input Your Signature*

Clear
Date and Time*
Should be Empty:

AMTA-LA COMMITTEE CHAIR POSITIONS & COMMITTEE VOLUNTEERS

Experience

Time Commitment