The course of the ERAPPA presidency has evolved significantly throughout our history. Presently, the ERAPPA Presidential track spans three years, comprising the roles of President-Elect, President, and Past President. The list below delineates those who have assumed the presidential role:
| Year | President | Chapter | Educational Institution |
| 2023 | Sheri Vucci | MD/DC APPA | Smithsonian Institution |
| 2022 | Jessica Abbott | SNEAPPA | Wolcott Public Schools |
| 2021 | Jessica Abbott | SNEAPPA | Wolcott Public Schools |
| 2020 | Jessica Abbott | SNEAPPA | Wolcott Public Schools |
| 2019 | Arthur Walsh | AAPPA | Dalhousie University |
| 2018 | Kevin Mann | MD/DC APPA | Salisbury University |
| 2017 | Steve Peary | NNECERAPPA | University of Vermont |
| 2016 | Elizabeth Clark | KAPPA | The Penn State University |
| 2015 | Dale DeBlois | NNECERAPPA | Colby College |
| 2014 | Michelle Frederick | MD/DC APPA | American University |
| 2013 | Dan Gearan | NNECERAPPA | Saint Joseph’s College of Maine |
| 2012 | Greg Scott | KAPPA | The Penn State University |
| 2011 | Terry Pellerin | SNEAPPA | Worcester Polytechnic Institute |
| 2010 | Jim Barbush | KAPPA | Pennsylvania’s State System of Higher Education |
| 2009 | Keith Woodward | SNEAPPA | Quinnipiac University |
| 2008 | Willy Suter | MD/DC APPA | American University |
| 2007 | Glenn Smith | DVAPPA | Bryn Mawr College |
| 2006 | Leon MacLellan | AAPPA | St. Francis Xavier University |
| 2005 | Ron Dupuis | OAPPA | Wilfrid Laurier University |
| 2004 | Kevin Petersen | MD/DC APPA | The Catholic University of America |
| 2003 | Norm Young | SNEAPPA | University of Hartford |
| 2002 | Michael Sofield | MD/DC APPA | Smithsonian Institution |
| 2001 | Robert Carter | OAPPA | McMaster University |
| 2000 | Thomas Stepnowski | NJAPPA | Rutgers University |
| 1999 | Earl Smith | SNEAPPA | University of Massachusetts |
| 1998 | Robert Bertram | NNECERAPPA | Caselton State College |
| 1997 | Jack Knee | KAPPA | The Penn State University |
| 1996 | Maggie Kinnaman | MD/DC APPA | University of Maryland at Baltimore |
| 1995 | Joe Rubertone | SNEAPPA | Quinnipiac University |
| 1994 | Philip Cox | NYAPPA | Cornell University |
| 1993 | Carl Day | OAPPA | Technical University of Nova Scotia |
| 1992 | Fred Klee | KAPPA | Ursinus College |
| 1991 | Norman Bedell | KAPPA | The Penn State University |
| 1990 | Don Hedrick | MD/DC APPA | Allegany Community College |
| 1989 | Don Hedrick | MD/DC APPA | Allegany Community College |
| 1988 | Peter Dufour | NNECERAPPA | University of Maine |
| 1987 | Dean Fredericks | NYAPPA | SUNY Buffalo |
| 1986 | Alan Lewis | NNECERAPPA | Colby College |
| 1985 | William Hetrick | KAPPA | The Penn State University |
| 1984 | Paul McNichol | OAPPA | McMaster University |
| 1983 | Richard Eustis | NNECERAPPA | University of Maine |
| 1982 | Austin Joeger | NYAPPA | Colgate University |
| 1981 | Robert Rounds | DVAPPA | University of Delaware |
| 1980 | William McKenzie | MD/DC APPA | Frostburg State University |
| 1979 | William Sanderson | SNEAPPA | University of Hartford |
| 1978 | William Gardner | SNEAPPA | Smith College |
| 1977 | Donald Wolfe | MD/DC APPA | Prince George’s Community College |
| 1976 | Eugene Leaver | NNECERAPPA | University of New Hampshire |
| 1975 | Art Chisholm | AAPPA | Dalhousie University |
| 1974 | Hank Yeagley | KAPPA | Penn State University |
| 1973 | Foster Jacobs | NJAPPA | Princeton University |
| 1972 | John Mueller | KAPPA | Drexel University |
| 1971 | William Stanton | KAPPA | Swarthmore College |
| 1970 | Fred Palmer | NYAPPA | Alfred University |
| 1969 | Peter Welanetz | SNEAPPA | Williams College |
| 1968 | Burlyn Deer | DVAPPA | Temple University |
| 1967 | Malcom Forbes | MD/DC APPA | Goucher College |
| 1966 | Ted Clark | OAPPA | McMaster University |
| 1965 | Gerald McKay | NYAPPA | University of Buffalo |
| 1964 | Walker Weigang | KAPPA | The Penn State University |
| 1963 | Harold Leavit | NYAPPA | University of Buffalo |
| 1962 | Robert Heidrich | SNEAPPA | Amherst College |
| 1961 | Francis McGuire | NNECERAPPA | University of Maine |
| 1960 | Ralph Gates | SNEAPPA | Harvard University |
| 1959 | George Weber | MD/DC APPA | University of Maryland |
| 1958 | Jim Young | NYAPPA | University of Rochester |
| 1957 | Harry Wood | DVAPPA | Swarthmore College |
| 1956 | Carl Peterson | SNEAPPA | MIT |
| 1955 | Dutch Wetzel | DVAPPA | Temple University |
| 1954 | Carl Peterson | SNEAPPA | MIT |