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STUDENT SCHOLARSHIP AWARD:

In recognition of part of its mission to support and promote clinical excellence through education, two scholarships are being donated on behalf of the Maine Chapter of the APTA to deserving students enrolled in an accredited physical therapy education program in Maine.

Select one of the buttons below for specific award criteria or to complete an on-line application:

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Student Scholarship Award Application Form:

This application form is just a portion of the material required for scholarship award consideration. Please read the scholarship criteria for more detailed information. You can access the scholarship criteria by selecting this link. Deadline for application submission and supporting documents is December 15th. All supplemental material should be mailed to:

Maine Chapter of the APTA
Nominating Committee Chair
P.O. Box 17483
Portland, ME 04104

Applicants who complete the following form DO NOT need to send a printed copy of this form with their application materials. A printable copy of this form is available, however, by selecting this link.
Applicant Name:
Address:
Phone Number:
Email:
Academic Institution:
Anticipated Graduation Date:
Current GPA
APTA/ME Chapter Activities: (please list)
Service/Community/Volunteer Activities: (please list)
250 word essay:
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Maine Chapter American Physical Therapy Association
PO Box 1783
Portland, Maine 04104
Phone/Fax (207) 799-1584
president@meapta.org

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