Scholarship and Loan Online Application 2015 APPLICATION PROCEDURES. Scroll to the bottom for the actual application.

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1 Scholarship and Loan Online Application 2015 NORTH CAROLINA PHYSICAL THERAPY ASSOCIATION SCHOLARSHIP AND LOAN FUND, INC. APPLICATION PROCEDURES Scroll to the bottom for the actual application. The Scholarship and Loan Fund, Inc. was established in 1962 by the North Carolina Physical Therapy Association. Funds are administered by a Board of Directors, the majority of who are elected by and from members of the NCPTA. Each school with a Physical Therapy Educational Program in North Carolina has a representative on the Board of Directors. TYPES OF FINANCIAL ASSISTANCE Scholarships, long term loans, and short term emergency loans are available. Each of these awards has specific eligibility requirements. Read carefully before filing an application. Applications are available on the NCPTA website ( I. Interviews An approximately 20 to 30 minute interview is required for scholarship and long term loan applications and are conducted at the NCPTA Spring and Fall Chapter meetings (during scheduled committee time.) Interviews are to be conducted in person, unless the applicant is unable to attend due to conflicts as a result of their clinical affiliation. A phone interview may be granted by the Board members (during the regularly scheduled interview times) for students who are either 1) out-of-state on a clinical affiliation or 2) are in NC but required to work (as part of their affiliation) the full day on the day of the Board meeting. Written proof of their inability to attend a personal interview for either of these reasons must be provided as part of their application by the ACCE and the clinical instructor. A telephone interview may be required for those students applying for a short term emergency loan. II. Scholarships A. Eligibility Requirements 1. North Carolina residents or non-residents enrolled in an accredited in-state or out-of-state Physical Therapist or Physical Therapist Assistant Program may apply after completion of at least one year of academic coursework OR if licensed as a Physical Therapist or Physical Therapist Assistant AND prior to entering the final semester of the graduating year. 2. Applicants must be a member of the American Physical Therapy Association (APTA). 3. Applicants should have established academic achievement, financial need, community involvement, and school/district/state level professional involvement. 4. Recipients must agree to remain and begin employment in North Carolina for at least one year immediately following graduation. B. Repayment

2 III. Long Term Loans 1. Should recipient discontinue the PT or PTA program, the scholarship must be paid in full immediately at a 10% interest rate, accrued as of the date the funds are issued. 2. If recipient leaves North Carolina for employment out-of-state less than ONE YEAR following graduation, the scholarship funds must be paid in full immediately at a 10% interest rate, accrued as of the date the funds are issued. 3. If the student leaves the program prior to graduation, the loan must be paid in full immediately at a 10% interest rate, accrued as of the date the funds are issued. A. Eligibility Requirements 1. North Carolina residents or non-residents enrolled in an accredited in-state or out-of-state Physical Therapist or Physical Therapist Assistant Program may apply after completion of at least one year of academic coursework OR if licensed as a Physical Therapist or Physical Therapist Assistant AND prior to entering the final semester of the graduating year. 2. Applicants must be a member of the American Physical Therapy Association (APTA). 3. Applicants should have established academic achievement, financial need, community involvement, and school/district/state level professional involvement. 4. Recipients must agree to remain and begin employment in North Carolina for at least one year immediately following graduation. B. Repayment 1. Long Term Loans must be repaid in full within one year of graduation with annual interest rate based on current prime federal interest rates. If proof of continued APTA/NCPTA membership is provided, there will be no interest. If the student fails to remain in North Carolina for 1 year following graduation the annual interest rate is 10%. Interest is accrued as of the date the funds are issued. 2. If the student leaves the program prior to graduation, the loan must be paid in full immediately at the 10% interest rate. IV. Short Term Emergency Loans A. Eligibility Requirements Available to any student enrolled in an accredited Physical Therapy or Physical Therapist Assistant educational program in North Carolina only. B. Application 1. Application form completed by student, accompanied by written request for assistance with recommendation by school representative, should be submitted to the Treasurer of the Scholarship and Loan Fund. 2. No specific deadlines exist for this loan application. 3. Need for an interview (telephone) will be determined by the Board members of the S & L Fund. C. Repayment 1. To be repaid within 90 days from issue with no interest. 2. Student can request in writing conversion to a long term loan. The Board will vote to determine approval within 10 days of receiving a written request. If approved, interest begins to accrue as of the date emergency funds were issued. Interest rate is determined per Long Term Loan guidelines.

3 3. It is the recipient s responsibility to keep the Scholarship and Loan Fund Treasurer informed of current address until debt is paid in full. V. Application Procedures Scholarship and Loan Applications are available online at the NCPTA website ( Contact the Secretary or Chair of the Scholarship and Loan Fund, if you need further guidance on this matter. Deadline: Completed applications must be submitted online by 30 days prior to the first day of the NCPTA conference at which the interviews will occur. The Chair reserves the right to change the due dates for applications based on the NCPTA meeting schedule. The Chair will notify all members of the Board in writing of this change. Criteria for application must be met prior to deadline. Supporting Documentation 1. Letter of recommendation from Physical Therapy Program Director or Scholarship and Loan Fund Faculty Representative. The student s GPA and clinical performance must be included in this letter for the application to be considered. 2. Any supporting/pertinent material you feel will strengthen your application will be accepted and considered. VI. Awarding of Funds A. A budget for disbursement of annual scholarship and loan funds is predetermined yearly by the Scholarship and Loan Fund Board. B. The specific amount awarded to each approved applicant is determined by the Board after interviews are conducted. C. Each applicant for scholarship and long term loans will be notified of approval/denial by June 15 th for the Spring application deadline and by November 15 th for the Fall application deadline. If approved, checks for total funds awarded will also be sent by these dates. VII. Criteria for Approval of Funding The Scholarship and Loan Fund Committee respects a commitment to North Carolina physical therapy services in all aspects. We consider financial need, scholastic achievement, community service and professional involvement at the academic, district or state level. We expect responsible financial behavior as well as commitment to the growth and strength of the profession of physical therapy. We understand sacrifice as well as personal goals. All of these areas are considered. Your application and interview is personally reviewed by several members of the Scholarship and Loan Fund Board. Awards are given by comparing each applicant to a norm of professional commitment, dedication, and personal excellence exemplified by all members of the North Carolina Physical Therapy Association, a component of the American Physical Therapy Association. The following five criteria are used when rating applicants who request funds from the Scholarship & Loan Fund: 1. Financial need 2. Scholastic achievement

4 3. Community service 4. Professional involvement at the school, district and/or state level 5. Presentation during interview In addition, the following are considered: 1. Letter(s) of recommendation 2. Information provided by school representative 3. Other information provided by the applicant that might impact the Board s decision. ALL FIELDS WITH A RED ASTERISK MUST BE COMPLETED. IF YOU SUBMIT THE APPLICATION WITH ANY REQUIRED FIELDS BLANK, YOU WILL HAVE TO START THE APPLICATION OVER FROM THE BEGINNING. PLEASE CHECK ALL FIELDS BEFORE SUBMITTING. THANK YOU. No Date * Application for: * If a scholarship is not granted, would you accept a loan? * If you are requesting either type of loan, please list the amount of the request. Last Name * First Name * Date of Birth: * School: * Expected date of graduation: * Are you a resident of North Carolina? * Current Address: (full street address, city, state and zip code) * Current Phone number including area code: * * Permanent Address: (include street address, city, state and zip code) *

5 Permanent Phone: (include area code) * If married, name of spouse: Occupation/employment of spouse: List of dependent(s) and age(s): APTA Member #: * THE FOLLOWING QUESTIONS FOCUS ON FINANCIAL STATUS AND NEED. THIS INFORMATION IS KEPT CONFIDENTIAL AND IS USED ONLY FOR THE PURPOSES OF THIS APPLICATION. Are you working now? * If yes, please provide name of employer, type of work, salary, and number of hours per week. Are there any other family members in college at the same time? * If yes, what relationship to you and their program of study? Do you plan to seek employment in NC immediately following graduation? * Have you been offered a position in physical therapy at this time? * If yes, where? If you are receiving help from other sources at the present time, will you be permitted to accept a scholarship from another source?

6 List INCOME sources and amounts including loans, scholarships, wages, support from family members, etc. List amounts BY SEMESTER. Please total amounts at bottom. *

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