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James B. McKillip Leadership Award

Deadline for receipt: June 1, 2020

Criteria

Members recommended shall have:

  1. Been a member of the California Physical Therapy Association for at least the immediately preceding ten years.
  2. Held elected and appointed Chapter positions in which he/she was recognized for leadership.
  3. Served as a Chapter Delegate to the APTA House of Delegates where he/she was recognized for leadership by the members of the House of Delegates or the Chapter delegation.
  4. Been recognized as a mentor to at least three members who have subsequently held elected and appointed Chapter positions and served as Chapter Delegates. Evidence shall include, but not be limited to, statements from the members for whom the member recommended served as a mentor, indicating the nature and significance of the mentoring.
  5. The recipient shall not be a member of the Chapter Board, Awards Committee or an employee of the Chapter at the time that the recommendation is considered

Please be as specific as possible in completing this form so that the member recommended can receive full consideration. Refer to the award eligibility and criteria found on the back of this form for the specific types of achievement and service to be recognized and addressed in your narrative statements

INSTRUCTIONS: Recommending party must send the recommendation form and all attachments as a complete packet. Note: A minimum of three individual members must submit complete, separate recommendations in order for a member to be considered for this award.

  1. Attach a description and documentation of the elected and appointed Chapter positions in which he/she was recognized for leadership, and
  2. Attach a description and documentation of service as a Chapter Delegate to the APTA House of Delegates where he/she was recognized for leadership.
  3. Attach a description and documentation from at least three members who have subsequently held elected or appointed Chapter positions and served as a Chapter Delegate to the APTA House of Delegates (this must include a statement from the member for whom the member recommended served as a mentor, indicating the
    nature and significance of the mentoring).
  4. Attach a resume or vitae of the member recommended.