Senior Member Application

Per the bylaws approved by the APMA House of Delegates in March 2019, a licensed DPM who is a member in good standing of this association and in good standing of an available component may apply for classification as a Senior Member if said member: Has attained the age of 65 years; AND Is not actively engaged in practice for more than 20 hours per week; AND Has been in good standing for 20 consecutive years or for an aggregate of 25 years. Senior Members shall be eligible: To receive all official communications of the association. For admission to any educational session and such other services as are provided by the association. For election or appointment to any office, committee, council, board, or similar position in the association as provided in these bylaws. To serve in the House of Delegates.

CONTACT INFORMATION
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    (changed due to marriage, divorce, etc.)
 
    (the email address currently used by APMA to stay in touch with you)
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    Maximum of 20 hours per week.
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AGREEMENT
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    By entering my name above, I hereby affirm that I am in accordance with the above stated APMA Bylaws and that the information contained in this application is true to the best of my knowledge. I understand that if approved, I may maintain my Senior Member status as long as I continue to qualify under the bylaws of the Association. If the amount of my practice hours increases beyond the maximum of 20 hours per week, I understand that I am no longer a Senior member and will revert back to Active status.
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    Month, Day, Year

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