Alaska Occupational Therapy Association
Membership Form
Mailing Address
What is your primary practice setting?
What is your primary field of practice?
What can AKOTA provide for you? Check all that apply
What is the highest degree that you hold (in any area)?
Would you be willing to help out in any of the following? Even a small amount of time is valuable!
Do you have any AOTA Board or Specialty Certifications?
Do you have any other certifications?
Pressing the reset button will clear your form.
Do not press this unless you want to start over
Please complete this membership form and you will be added to the directory and the database
Are you currently a member of the American OT Association (AOTA)?
