UAPT Spring Conference Scholarship Application

The UAPT organization offers scholarships to cover the registration costs for the annual UAPT conference. The purpose is make available training opportunities for members who would otherwise not be able to attend due to financial hardship.

Question Title

* 1. Applicant Information:

Name: *

Company: *

Title: *

Address: *

City/Town: *

State:

Zip: *

Phone #: *

Email: *

Member since:

Question Title

* 2. Have you ever attended a UAPT Conference?

Yes

Question Title

* 3. Has anyone from your organization ever attended a UAPT Conference?

Yes

Other (please specify)

Question Title

* 4. Have you ever received a UAPT Scholarship?

If yes, please provide date(s):

Question Title

* 5. On a scale of 0-10 (10 being very important) how important would this scholarship be to your ability to attend?

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 6. Please give an explanation for your request for financial assistance:

Question Title

* 7. Please provide the contact in your organization that we can reach out to on your behalf with information regarding the value of budgeting this training in the future:

Name

Title

Phone Number

Question Title

* 8. Please check the following to acknowledge you have read:

Scholarships are awarded on a limited basis and subject to the review and approval of the board.

Scholarships only cover conference registration fees and not room, board or travel expense.

Scholarship Deadline is April 1st.