2018OTFacEndowedScholarshipApplication
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OCCUPATIONAL THERAPY FACULTY ENDOWED SCHOLARSHIP
APPLICATION
EASTERN KENTUCKY UNIVERSITY DEPARTMENT OF
OCCUPATIONAL SCIENCE AND OCCUPATIONAL
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:
SCHOLARSHIP CRITERIA
Criteria:
Planned entry into year one of the EKU, Master of Science in Occupational Therapy Program
Min. GPA of 3.00.
Resume demonstrating the potential for successful Occupational Therapy practice
Narrative (descriptive) list of professional goals
1-2 page essay, typed and double spaced, outlining need for scholarship
Completed Student Aid Report (SAR) (summary of rated FAFSA) demonstrating financial need
SUBMIT ALL APPLICATION MATERIALS TO THE 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
GPA:
NO
Professional Goals Attached: YES
Interim Revision 1/07, 4/09
Date Received:
FAFSA Attached:
NO
YES
NO
