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Education Resources would like to provide a scholarship of free tuition to the 21st Annual Therapies in the School Conference, to a therapist who is new to practicing in the schools to help further his/her potential to significantly contribute to therapy practice in the field of school-based therapy. This nominee should have a strong potential to meet students' needs and collaboratively engage teachers and staff within the students' team. 

You may nominate yourself or colleague(s) – or both!

Nomination Criteria: 
• The nominee must be an occupational therapist, physical therapist, speech language pathologist, OT/PT/SLP assistant. 
• The nominee must currently practice therapy in a school setting for 0-3 years. 
• The nominee must demonstrate the core values of collaboration, integrity, and a passion for improving the lives of his/her students.

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* 1. Your name

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* 2. Your email

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* 3. Name of Nominee

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* 4. Nominee's Email (if known)

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* 5. Nominee's discipline (Must be OT, PT, SLP, or Assistant)

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* 6. Nominee's number of years in practice in the field AND in the school setting

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* 7. Provide 2-3 examples of how the nominee uses his/her expertise to deliver excellent services.

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* 8. Choose ONE of the following and describe how the nominee exemplifies this skill while delivering excellent services.

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* 9. How did you hear about this scholarship opportunity? Please check all that apply.

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