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2024 Michael Powe Scholarship Award
Application Form
Step 1: Review the program qualifications and requirements document.
Step 2: Fill out form below and upload all required supporting materials.
Application Deadline: July 31, 2024
General Information
First Name
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Last Name
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PA Program
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AAPA Member Number
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Street address:
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Address line 2:
City:
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State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip code:
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Expected Graduation Date
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Email address:
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Phone number:
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Are you a current member of an AAPA affiliated state chapter, specialty organization, caucus or special interest group?
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Yes
No
To qualify for this scholarship, you must be a member of AAPA and an affiliated constituent organization.
Short Answer Questions
Explain why this scholarship interests you, what you hope to gain from your experience at LAS, and how you plan to utilize the knowledge you obtain (500-word maximum).
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Have you attended AAPA Leadership & Advocacy Summit before?
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Required Documents
Upload a letter of recommendation from your PA Program Director or a current Faculty Member describing your contributions to the program, volunteer engagement and/or any prior advocacy involvement.
Upload your current résumé/curriculum vitae (CV).
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Provide verification of current enrollment in an accredited PA program.
Thank you for completing this application!