Application Deadline:  August 23, 2020

Eligibility and Application Requirements

1.     Be a current PT, PTA, or student member of the APTA at the time of application and throughout the 2021 Centennial year.

2.     Attend three mandatory in-person events [expenses paid by the sponsoring chapter/section/academy] and regularly scheduled virtual meetings. The in-person events are currently scheduled for:
a.     January 16, 2021, New York, NY
b.     April 2021 [exact date TBD] in Alexandria, VA
c.     September 12, 2021 in Washington, D.C.

3.     Commit to developing and completing a capstone project in collaboration with the sponsoring chapter/section/academy, which may extend beyond 2021.

4.     Submit a completed application by the application deadline.

Required Application Materials

1.     Completed application

2.     Resume or CV detailing educational, professional, and volunteer service experience.

 Desired Application Materials

1.     For PT/PTA:  Two letters of recommendation from people familiar with your potential for future professional leadership and your ability successfully complete a capstone project for your component.

2.     For students: at least one letter of recommendation should be from your physical therapy program academic and/or clinical faculty

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* 1. Name

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* 2. Title 

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* 3. Additional titles and credentials

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* 4. Why are you applying through the Academy of Physical Therapy Research (APTR) for the Centennial Scholars Program?

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* 5. How does this program support your personal leadership development goals?

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* 6. What unique contributions do you think you would make to APTA's and APTR's leadership pool?

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* 7. In what ways might you and your experiences contribute to a more diverse and prepared leadership pool to lead the profession during the next 10 years?

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* 8. What specific skills and strengths do you bring to the program that will serve APTR and the profession?

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* 9. Describe a key past experience that contributed to your interest in leadership development, including how it contributed.  The experience does not necessarily have to be physical therapy-related.

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* 10. What do you value most as an APTA member?

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* 11. What do you value most as a PT/PTA professional or Student?

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* 12. Are you a practicing PT/PTA?

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* 13. Describe a clinical experience that you feel had a significant and valuable effect on your personal and professional growth.

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* 14. What do you anticipate will be the most rewarding outcome for prospective Centennial Scholars?

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* 15. Are you a student?

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* 16. Describe how you feel the Centennial Scholar experience will affect your relationship with APTR

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* 17. Please upload your CV/Resume

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 18. Recommendation Letter #1

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 19. Recommendation Letter #2

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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