AAPA Student Membership Extension Request Form

AAPA Student Membership Extension is available to any current AAPA student member whose program completion date has been delayed.

Please complete this form to submit your request. Once you have completed this form you will be contacted within 3-5 business days to confirm your extension.

Name *

AAPA ID # *

Phone number *

Email Address *

PA Program Name *

Original Expected Graduation Date * +

New Expected Graduation Date * +

Preferred contact method *

Attach any supporting documents (optional)

Is there anything else you need AAPA membership to know or help with? (optional)

NOTE: This membership cannot be deferred, canceled, or refunded.

If your membership expired, but your graduation has been delayed, please contact the AAPA student membership team at paprograms@aapa.org to reinstate.

PA programs can request the membership extension as a group process by contacting the AAPA student membership team at paprograms@aapa.org.