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Instructions & Contact Information

Please ensure all fields and questions are fully answered, as all components of this application are required for submission and qualification.

If you have any questions about this form or the submission process, please email continuing.education@team-rehab.com.

Basic Information

Note: Students in Michigan and Illinois should apply to the scholarships offered directly through their state APTA associations.

Application Questions

Note: Free-text answers have a maximum limit of 3,000 characters (approximately 500 words).

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Supporting Documents

All uploads MUST be in PDF format. Max size 5MB each.

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