2018JAndersonScholarshipApplication

JOY ANDERSON SCHOLARSHIP APPLICATION
EASTERN KENTUCKY UNIVERSITY DEPARTMENT OF
OCCUPATIONAL SCIENCE AND OCCUPATIONAL THERAPY
APPLICANT INFORMATION
Name:
EKU Student ID Number:

Local Phone:

Local address:
City:

State:

ZIP Code:

State:

ZIP Code:

Permanent address:
City:
E-mail:

Other Phone:

Applicant Signature:

Date of Application:

SCHOLARHIP CRITERIA

Criteria:
Enrolled in year 1 of the Master of Science in Occupational Therapy Program
Min. GPA of 3.00
Resume demonstrating potential as an occupational therapist
1-2 page, typed and double-spaced, essay addressing professional goals and potential as an Occupational
Therapist
Completed Student Aid Report (SAR) (summary of rated FAFSA) demonstrating financial need

SUBMIT ALL COMPLETED APPLICATION MATERIALS TO PEGGY BOWMAN IN
DIZNEY 103 BY THE DEADLINE DATE
FOR OFFICE USE ONLY
Application Form Complete: YES
Essay Attached:
Resume Attached:

YES
YES

NO
NO

NO

Date Received:
GPA: