Volunteer Term Verification Letter
Do you need documentation from the Academy of Pelvic Health Physical Therapy that verifies your volunteer years of service? Whether you need a letter for a board certification or other reason, please complete the fields below. You will then be emailed a signed letter by an Academy representative. Thank you.
Full Legal Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Group/Committee/Task Force/Interest Group(s)/Position
*
i.e. Board of Directors, PPSIG
Position Title
*
i.e. Member, Director, Treasurer, Chair, Assistant Chair, Co-Chair
Last known years of service (i.e. if you know your years of service, please share them below). If you are requesting for more than one volunteer group or position, please list them below.
*
Please include any additional comments here.
When do you need the letter?
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Month
-
Day
Year
Date
Submit
Should be Empty: