PROCEDURE FOR APPLICATION
Applications will be disseminated and collected by the IACCC member serving as the Scholarship Liaison with the Selection Committee. The applicants, to be considered a candidate, must follow the following dates:
Checklist Deadline Dates
Forms Available After completion of first affiliation
Completed forms to program ACCE/DCE *December 1st
Program submits two nominations January IACCC meeting
Recipients selected February
Check awarded Early March
The application must include the following materials:
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Completed application form (including professional, school and charitable contributions limited to the past three years)
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Typed essay on subject selected yearly by IACCC
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Copy of the Summary of CPI Form completed by CI
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Scholarship recommendation form filled in by clinical instructor of first affiliation
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Verification of APTA membership
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Verification of Grade Point Average, number of units in completed classes and units in remaining classes for completion of program
NOTE: All materials must be typed (except for the CPI information).
CLICK HERE for Scholarship Application Form
CLICK HERE For Summary of Clinical Performance Form
SELECTION CRITERIA
Composed of the following weighted point system:
Criteria Maximum Points
Essay 30
Clinical Evaluation and Recommendation 30
Leadership Activities 20
GPA in professional program (GPA multiplied by 5) 20
Total Points 100
AWARD GUIDELINES
ESSAY 30 points
See enclosed grading rubric scales; use point scale and multiply score by 5
GPA 20 points
Multiply GPA by 5
LEADERSHIP ACTIVITIES
20 points (see rating scale below)
Consider quantity, diversity, breadth/depth, and level of involvement or leadership
SCHOLARSHIP RECOMMENDATION
30 points (see rating scale below)
Clinical Evaluation by CI (CPI)
Letter of Recommendation
Please use the following scales for awarding points for Leadership and Recommendation:
Rating Leadership Recommendation
Impressive 20 30
Very good 15 22.5
Average 10 15
Below average 5 7.5
Non-impressive 0 0
COMMITTEE SELECTION AND RESPONSIBILITIES
A committee of five members will be formed from physical therapy professionals including members of CEF, APTA members from surrounding counties who are familiar with and support the IACCC consortium, and former recipients of the scholarship. Selection and replacement of these members will be coordinated by the IACCC ex-officio liaison. Ideally, each member will serve for two years.
The committee responsibilities will include:
Individually review all applications received from programs.
Determine total score for each application based on point system devised by IACCC.
Meet with all committee members present to select recipients based on the combined total scores.
Inform IACCC scholarship liaison of recipients selected
IACCC provides an ex-officio liaison to assist the committee in carrying out assigned responsibilities. This person will not vote, nor will s/he enter into a debate of the selection process.