Home
About Us
Board Members
Newsletter
Membership
CME & Conferences
Jobs
Events
Hawaii Academy of Physician Assistants
Registration: Membership Application
Hawaii Academy of Physician Assistants (HAPA) Membership Application
Membership Categories
Fellow $50
PAs who are NCCPA certified and/or a graduate of a CAHEA or CAAHEP accredited PA program; a fellow shall live or be employed in Hawaii and must be a member of AAPA
Affilliate $50
Individuals who qualify for Fellow membership but elect not to be a member of the AAPA, are members of another constituent chapter, or are non-PAs--i.e. physicians, pharmaceutical industry
Military $25
Active duty military stationed in Hawaii
Student $10
Students in a CAAHEP accredited PA program
Required Information
(
*
= required field )
First Name:
*
Last Name:
*
Organization:
Address:
*
City:
*
State:
*
Zip Code:
*
Email:
*
Confirm Email:
*
Phone:
*
Additional Information
Select Membership Category (descriptions above):
*
Select One
Fellow $50
Affiliate $50
Military $25
Student $10
Include personal information in HAPA directory:
Yes
No
Committees Interested In:
Public Relations
Conference / CME Planning
Fundraising
Newsletter
Legislative / Gov't Affairs
Registrations Menu
HAPA Membership Dues
Aloha Conference
List All Events
Demographics Survey
Contact Us
PO Box 30355
Honolulu, HI
96820-0355
Voicemail/FAX:
888-PAS-HI40
888-727-4440
Email:
HAPA
Conference Info:
email:
Bob Null
phone (808) 432-8334