Submission Form: Zelia Celona PTA Award 2020

Please complete the following application and submit a letter.  The letter should describe the candidate's engagement in the profession and professional advancement along with examples of compassion for peers and patients.   

Please submit this letter to 


This award will be presented at the Annual Meeting 

(* Denotes Required Fields)

Nominee Information

Name of Nominee
Nominee's current employer
Name and contact of person submitting
Please list 2 references and email contact. The committee may choose to follow up with these references. These individuals don't need to submit a letter.
Reference 1 Name and contact
Reference 2 Name and Contact

 Change Image


RIAPTA Liberty Square Group
4 Liberty Sq, #500
Boston, MA 02109
(857) 702 – 9915