PERFORMING ARTS SPECIAL INTEREST GROUP OF THE ACADEMY OF ORTHOPAEDIC PHYSICAL THERAPY

Combined Sections Meeting Scholarship Application Form

Name*

Email*

Phone*

APTA Membership Number*

School/Program*

Presenter Information

(If different than the person above)

Name

Email

Phone

APTA Membership Number

Abstract Title*

Abstract Number

Abstract Coauthors

Provide a short statement on how this work impacts or expands the care of performing artists in Physical Therapy practice, research or health care systems (Maximum 200 words)*

Please attach CSM abstract

Please attach a copy of the acceptance letter

By submitting this application, I certify that this work adheres to the ethical standards of the Physical Therapy Journal. I certify that this work has not been previously presented at a national or international conference, nor published or accepted for publication.

* Requred Fields

For information please contact Anna Saunders: annarosemary@gmail.com