PA of the Year Submission Form | Connecticut Academy of PAs

PA of the Year Submission

Connecticut has over four thousand licensed PAs. They work in a variety of practice settings, they volunteer thousands of hours a year, they precept students and they provide exceptional care to the patients of Connecticut and beyond. ConnAPA would like to honor one PA that goes above and beyond by bestowing upon them ConnAPA’s PA of the Year Award. The recipient will be recognized in person, in print, on the ConnAPA website, will be awarded a commemorative plaque, and will be granted a complimentary year’s membership to ConnAPA and complimentary registration to the 2025 Charter Oak Conference.

Nominee Information
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email*
Nomination Essay
Please tell us why you feel this individual should be recognized as PA of the Year.*
Please tell us why you feel this individual should be recognized as PA of the Year.
Submitter Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Comments
This field is for validation purposes and should be left unchanged.

Connecticut Academy of PAs

PA of the Year Submission

Nominee Information

Nomination Essay

Submitter Information