New and Returning Institutional Memberships:

Any accredited or accreditation candidate physical therapy, occupational therapy, or speech therapy school in the United States is eligible for institutional membership to The Pro Bono National Honor Society. Becoming a new institutional member requires the institution to determine the required hours of service to be nominated and allows the university or college to nominate students for the award. The institution will be acknowledged on the website. Institutions interested in becoming members must submit an institutional application along with the $100.00 annual fee. Please fill up the form below to become a new member, all the fields are required.

Registration Form

Your Institution's Name

Your Institution's Mailing Address

Contact Person's Name

Contact's Phone Number

Contact's Email

Name of the Pro Bono clinic/service associated with the Institution

Web Address for this clinic/service

What are the required number of Pro Bono service hours for students to complete in order to be nominated?

What is the winter and/or spring graduation date for the upcoming academic year?

The $100.00 institutional membership fee can be paid by check or online:

Online Payment (Secure)
Mail your check to:
Widener University
Institute for Physical Therapy Education
Attention: Pro Bono NHS
One University Place
Chester, PA 19013