Registration
Please complete the form below, all field name's followed by a * indicate that an input is required. Once completed, please select the 'Submit Registration' button.
 
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Registration Form
Please enter your details below so we may create an account for you.
 
Desired Username: *
Please enter your desired username. You will use this when logging in to our member's area(s). Usernames must be between 8 and 255 characters in length and should consist of letters and numbers only.
Desired Password: *
Please enter your desired password. You will use this when logging in to our member's area(s). Passwords must be between 8 and 255 characters in length and should consist of letters and numbers only.
Confirmation Password: *
Please confirm the password you entered above.
 
Email Address: *
Please enter your email address. Please make sure it is correct or you will not receive your login information for our member's area(s).
 
First Name: *
Please enter your first name.
Last Name: *
Please enter your last name.
 
Additional Information
Courtesy Title: *
Please select your preferred courtesy title.
Professional Title: *
Please enter your professional title. Example - PA, RPA-C, MD, NP, PA-S, etc.
Date of Birth for CME Tracking - Day and Month Only - Format - DD/MM: *
Please enter the day and month of your birth in the format - 'DD/MM'
Address: *
Please enter your street address.
City: *
Please enter your City.
State: *
Please enter your State.
Zip: *
Please enter your Zip Code.
Home Telephone:
Please enter your home telephone number.
Work Phone:
Enter your work phone (optional)
Employer:
Please enter your employer.
Specialty:
Please enter your specialty.
PA Program Graduated From:
Please enter the PA program you graduated from.
Year of Graduation:
Please enter the year you graduated from the PA program listed above.
 
Membership Options
The following membership options are available:
  • Graduate PA Membership - $25.00
    1-year Graduate PA Membership. Thank you for your interest in RRPAA Membership. Membership fees go towards the cost of providing educational opportunities to PAs in the Rochester Area, as well as to supporting other activities and resources for PAs in the Rochester community.
  • Student PA Membership - $10.00
    1-year Student PA Membership. Thank you for your interest in RRPAA Membership. Membership fees go towards the cost of providing educational opportunities to PAs in the Rochester Area, as well as to supporting other activities and resources for PAs in the Rochester community.
  • Affiliate Membership (NP, Dr, Other) - $25.00
    1-year Affiliate Membership. Thank you for your interest in RRPAA Membership. Membership fees go towards the cost of providing educational opportunities to PAs in the Rochester Area, as well as to supporting other activities and resources for PAs in the Rochester community.
Select Membership:  *
Before you submit your registration, please read our email advisory:

The next step in the registration process is to confirm your membership registration. After you click 'Submit Registration', a confirmation email will automatically be sent to the email address you have specified above.

There are a few steps you can take to increase the likelihood of receiving this email and further emails from the RRPAA Membership Management System. In most cases, the problem lies with SPAM blocking software. Email from the RRPAA Membership Management System comes from the address info@rrpaa.org. If you are having difficulty receiving email from this address you may have to explicitly tell your SMAP blocking / email client (Yahoo, Hotmail, Outlook, Thunderbird, etc) software that this is an approved address to receive email from. Most SPAM blocking / email clients have options for adding emails to these acceptable lists. Please contact your email provider for assistance with finding these options on your program.

You should also add the address info@rrpaa.org to your contact/address book. Some programs will accept emails from all addresses listed in your contact/address book.

It is also a good practice to check your junk/bulk mail folders for messages from info@rrpaa.org. Depending on your particular email software, email messages may be getting filtered to these folders. If you identify that email from info@rrpaa.org is ending up in your junk/bulk folders, you may have to change how your program handles this address. Please contact your email provider for assistance with modifying these options on your program.

If you take the above precautions and are still having difficulty receiving emails from the RRPAA Membership Management System, please send an email to info@rrpaa.com.