Support Music Therapy in Pennsylvania

Support Music Therapy Licensure in PA

The Pennsylvania Music Therapy Task Force is seeking support from organizations, associations, businesses, schools, employers and consumers willing to publicly show their support for music therapy licensure in Pennsylvania (which both supports the MT-BC credential AND Licensure).
If your institution cannot publicly support MT licensure (often state-affiliated organizations and associations cannot), please show your support for the national credential MT-BC (music therapist board certified) by completing a separate form HERE.
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Please complete this form. The organization name that is provided is what will be displayed to the public. If you are representing multiple organizations, please complete a separate form for each organization.
Contact Name*

First NameLast Name
Email*
example@example.com
I am representing a:*

Business/Organization/Association/Institution, etc.Department, Campus, Branch, etc. of a larger networkAssociationMedical/health FacilityPrivate PracticeReligious OrganizationNon-ProfitResidential Facility (Older Adults, Intellectual/Developmental Disabilities, etc.)Mental/Behavioral Health FacilityVeterans Facilities/OrganizationsOther
If you selected other, what category is your organization/association?
Organization Name (Institution, business, association, consumer, etc.). The name listed here is what will show to the public.*
Type the name EXACTLY as you want it to appear.
I recognize and authorize the name of the organization I provided will be listed publicly to show support for music therapy licensure and credential in Pennsylvania.*

YES, I authorize the name of the organization to be displayed publicly in support of music therapy licensure and credential in Pennsylvania.
I certify that I have proofread the name of my organization and there are no spelling errors.*

YES, I have reviewed my submission and it is accurately spelled.
By clicking here I authorize the name of the organization above to be listed publicly showing support for music therapy LICENSURE in Pennsylvania.*

YES, I authorize the listing of the organization publicly
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Support Music Therapy Licensure in PA

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