Please complete and submit the form below if you are interested in becoming involved with an OPA Committee, Task Force, or Special Interest Group.  The Central Office Staff will then pass your name and contact information on to the appropriate group contact.  Items with a * are required.

Name*      Degree     

OPA Membership/License Number (if applicable)  

Address*          

City        State*                   Zip Code*      

Phone Number*        E-mail Address*   

Descriptions of some groups can be viewed by clicking on the underlined listings below.  Please check all groups that you are interested in participating with.

Standing Committees
Advocacy
Communications & Technology
Diversity
Education
**Ethics (**if you are interested in the OPA Ethics Committee, please complete the special form found here)
Insurance
Membership
Professional Practice
Public Interest
Science

Functional Committees
Elections/Awards
Finance
Mandatory Continuing Education (MCE)
Personnel
Planning & Development
Policies & Procedures
Political Action Committee (PAC)

Task Forces/Subcommittees
Disaster Response Network
Lesbian, Gay, Bisexual, Transgender (LGBT)
Prescription Privileges (RxP)
Public Education