PA Student of the Year Submission Form | Connecticut Academy of PAs

PA Student of the Year Submission

Connecticut now has six Accredited PA Programs, and many PA students are active ConnAPA members. Students commit their time to academic and clinical work as well as community outreach and professional involvement. ConnAPA would like to honor one PA Student that goes above and beyond by bestowing upon them the first ConnAPA’s PA Student of the Year Award. The recipient will be recognized in person, in print, on the ConnAPA website, will be awarded a commemorative plaque and gift card.

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*
Name
This field is for validation purposes and should be left unchanged.

Connecticut Academy of PAs

PA Student of the Year Submission

Nominee Information

Nomination Essay

Submitter Information