Student Membership

APTA Student Membership Application

Please have your proof of eligibility (a college student I.D. that provides issuance date and/or expire date, a letter from your college program director, or a letter from the registrar) and credit card payment ready to submit before clicking “Save” and continuing to the next step.

address:city/state/zip:county/district:country:province:prefix:middle name:last name:personal information

confirm password:create password:first name:university/college :e-mail (please use your university/college email):phone number:anticipated graduation date (mm/dd/yyyy):

badge name:degree type:career discipline of interest:ph. ext.:gender:ethnicity:suffix:

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APTA Student Membership Application