The application must include the following materials (**Please submit them in the order listed):
a) Completed application form (including professional, school and volunteer work limited to the past three years and not required by the PT or PTA program)
b) Typed essay on a subject or ethical scenario selected yearly by IACCC
c) From the Clinical Performance Instrument (CPI)
A copy of the CI’s portion of the CPI, including either visual analog scales or categorica; ordered scales, summative (final) and formative (midterm) written comments, from your first fulltime affiliation.
d) Scholarship Recommendation Form completed by the Clinical Instructor of the first affiliation
e) Verification of APTA membership required at the time of the first affiliation and at the time of the scholarship award
f) Verification of Grade Point Average, number of completed units, and number of remaining units for completion of program
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