OOTA Member Recognition

OOTA Member Recognition Form

This form will be used by OOTA’s communications team to enhance our understanding of the incredible work being done by OOTA members.

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Thank you!

Thank you for taking the time to share your work and perspective with OOTA! This form will be used by OOTA’s communications team to enhance our understanding of the incredible work being done by OOTA members. Ultimately, it is our goal to follow up with the individuals whose stories, work, and impact are referenced through submissions of this form, so that we can better understand the lessons they have to share about OT practice, and so we can distribute these insights across OOTA’s audience. Thank you for taking the time to recommend yourself or one of your peers/colleagues for this opportunity! If you have any questions about this initiative (or any other OOTA activities), please feel free to reach out to OOTA Staff at ootastaff@gpsforgrowth.com.

Name(Required)

First Last

Email(Required)

Are you an OOTA member?(Required)

Yes

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Are you submitting this form for yourself, or on someone else's behalf?(Required)

For myself

On behalf of someone else

If submitting on someone's behalf, what is their name and email?

If submitting on someone's behalf, can we tell them that you have recommended them for recognition?

Yes, sure!

No, I would like my recommendation to remain anonymous.

What work/accomplishment/experience would you like to submit for recognition from OOTA?(Required)

Is there anything else that would be helpful for us to know before following up with you about this submission?

OOTA Member Recognition Form

Thank you!

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