To Apply: Please contact Julia Rice

All application materials must be received at VPTA Headquarters BY CLOSE OF BUSINESS October 31, 2010.

To acknowledge and reward demonstrated participation in minority affairs activities & services, the potential for superior achievements in the profession of physical therapy, appropriate display of professionalism as a future physical therapist, and academic excellence.

1. The applicant must be a U.S. citizen or legal permanent resident and a member of one of the following racial/ethnic minority groups: African-American or Black, Asian, Native Hawaiian or other Pacific Islander, American Indian/Alaska Native, or Hispanic/Latino.
2. In the year this award is to be given (2011), the student must be enrolled in the final academic year of an accredited or developing professional physical therapist or physical therapist assistant education program. The student must complete all degree requirements (clinical and didactic) and/or be eligible to graduate January 1-December 31, 2011.
3. The student must show evidence of contributions in the areas of minority affairs and services, and high scholastic achievement.
4. The student must possess potential for superior achievements in the profession of physical therapy as well as professional excellence as a physical therapist or physical therapist assistant.
5. The student must be a current member of the APTA and VPTA.

PLEASE ADHERE TO SPECIFICATIONS ON HOW TO ORGANIZE THE MATERIALS NOTED ON THIS PAGE OR THE APPLICATION WILL BE RETURNED.

1. You (the student) must complete the entire attached application in typewritten (or other computerized) form. ANY FORMS NOT TYPEWRITTEN OR INCOMPLETE APPLICATION PACKAGES WILL NOT BE REVIEWED. FAXES OR E-MAILS OF APPLICATION MATERIALS WILL NOT BE ACCEPTED
2. Write a 500 word personal essay outlining your professional goals and minority service (beyond what is required by your academic program). Your essay must include a response to the two (2) questions listed on page 3 of this application packet. You may add other pertinent information, while maintaining the 500 word limit.
3. You (the student) must provide a personal information fact sheet (please use the attached form) emphasizing minority/underserved community participation, scholarly achievements, and service activities. This is in addition to the personal essay.
4. Please have the attached reference forms completed, in typewritten or other computerized form, by your academic program faculty or a physical therapist clinician, and from the program manager/director who can verify your contributions to the minority community (total of 2 references).