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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Personal Information' section. Enter your first and last name, credentials, home address, and contact details. Ensure all fields are completed accurately.
Proceed to the 'Licensure and Education' section. Input your initial certification date, AOTA membership number, and list the states where you are licensed. Include your highest degree level and educational institutions attended.
In the 'Membership Categories' section, select applicable areas of experience. Provide details about your employment history without inserting a CV or resume.
Complete the 'Self-Evaluation' by rating yourself on various professional skills. Use the provided scale for each area.
Answer the short response questions regarding your evaluation areas, distance education experience, and motivation for joining RAE.
List your service in professional organizations under the 'Service' section, including dates of service.
Declare any potential conflicts of interest as outlined in the form before submitting.
Finally, verify that all information is accurate by signing and dating the declaration at the end of the form.
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