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)
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?
Do you enjoy making phone calls?
Do you enjoy organizing paperwork?
Do you want to volunteer at the AMTA-LA annual convention?
Do you like to organize events?
Input Your Signature
Date and Time
Should be Empty:

AMTA-LA COMMITTEE CHAIR POSITIONS & COMMITTEE VOLUNTEERS

Experience

Time Commitment