Veterans Caucus of the AAPA

Scholarship Application 2017

Veterans Caucus, Inc.

PO BOX 362
Dover, DE 19903

Scholarship Application 2017 - 2018





1. Electronic applications will be accepted after October 1st each year for the following yearly cycle.

2. Deadline for all application material to be submitted electronically is March 1st of each year.

3. Student and faculty advised of selection by May 1st of each year.

4. Scholarship checks mailed to PA Program Director for presentation by May 15th of each year.

Instructions for completing the Scholarship Application:

Full Instructions can be found on the Scholarship/Information page of this website.

1. Complete all parts of the application and attach all required attachments in the proper format. Attachments include: DD214, passport size photograph and personal statement. Add name and email address to each attachment to insure attachment to the appropriate application occurs.

2. Email the following link to your Program Director and request they complete the Program Director’s Recommendation part of your application online.
http://www.veteranscaucus.org/index.php?option=com_rsform&formId=8

3. Suggestion: make a copy of your document before you hit the submit key. Note: If you need help with the PDF file format go to http://createpdf.adobe.com/.

4. Applicant will receive email confirmations as to the current status and completed status of the application process.

Attention: Applicants for the Chan-Padgett Scholarship must upload a scanned DD-214 for the US Army Special Forces member who was their sponsor. You cannot continue with the Scholarship Application unless this first step is done. Acceptable formats: .pdf, .jpg, .gif, .png .

Failure to provide this document will void this application. NO FAX DOCUMENTS CAN BE ACCEPTED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO SUBMIT THE FORMS REQUESTED IN THE PROPER FORMAT.

APPLICATION DEADLINE IS 0001 Hours EST, MARCH 1ST, 2018.

PLEASE JOIN THE CAUCUS AND HELP US GIVE BACK!!!!!




FirstName, Middle Initial(*)

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LastName(*)

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Email Address(*)

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Contact Street Address(*)

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Contact City(*)

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Contact State(*)

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Contact ZipCode (5 digits only)(*)

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Contact Phone xxx-xxx-xxxx

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Contact Cell Phone xxx-xxx-xxxx

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Name and address of your PA Program(*)

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Program Director contact information (*)

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Numbers of semester hours completed as of July 1, 2017 (*)

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Enter a pdf copy of your DD-214 here. Accepted format: pdf, Max 2Mb in size.(*)

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Honorable Discharge (*)

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Please attach a passport size photo. Disclaimer: This photo will not be seen by any member of the scholarship committee. The sole purpose of this photo is to be used on the website if you are awarded a scholarship from the Veterans Caucus. Accepted files: jpg, png, gif, tif:(*)

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Please provide a statement on why you wish to become a Physician Assistant and how the scholarship would be used. This is your time to shine!!! Make it count. Also if you are specifically applying for the Chan-Padgett or Milner Scholarship please indicate that in your personal statement. (Maximum 300 word) Accepted formats: .pdf(*)

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College activites and honors (*)

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Civic activities and civic awards (*)

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Branch of Service (*)

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Type of Service (*)

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Please list all Military Honors and Awards Received(*)

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Please list all colleges you have attended with the dates of attendance(*)

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Anticipated Date of Graduation (*)

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Degree Expected at Graduation (*)

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Professional memberships, activities, and awards (*)

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