Membership Application

People and organizations requesting membership must fill out this form in its entirety and then submit it. Please note that the PMTA Code of Conduct must be read prior to completion of this application.

CTP Membership Application (#6)

Primary Contact Name

Please Provide the name of the person who will be the primary contact with PMTA.

Secondary Contact Name

Quality Assurance

Student Evaluations

Please upload or copy / paste into space provided. Minimum of 2. 

Please insert two professional references speaking to your training ability along with their contact information. 

Please enter your first and last name as confirmation of the agreement: