TOWSON UNIVERSITY
DEPARTMENT OF OCCUPATIONAL THERAPY AND OCCUPATIONAL SCIENCE
WARREN INTERNSHIP AWARD
APPLICATION DEADLINE: November 30th
Full Name:
(Last)
Towson ID #:
(First)
_____________
(M.I.)
Date: ___________________________
Permanent Address:
Local Address:
Local Telephone #:
#Credits Completed by end of fall semester:
Undergraduate
Graduate_________
GPA _______________
U.S. Citizen:
Yes
No
Permanent Resident ____
Campus Activities:
Community Activities:
Special Honors/Awards:
Internship Plans (list all Level II fieldwork sites):
Student’s signature:
Date:
RETURN THIS APPLICATION AND YOUR ESSAY TO:
Hannah Franklin
Fieldwork Secretary
Dept. of Occupational Therapy &
Occupational Science
hfranklin@towson.edu
Statement of Need Essay to include the following information:
1. How you have been financing your college education
2. The ways in which this financial award would assist you
3. A description of your short and long-term professional goals
Eligibility:







3.0+ cumulative TU GPA
Enrolled full or part time
Occupational Therapy major
Open to BS/MS students
Student must be doing one internship out of state
Students in the Occupational Therapy Program in the semester prior to their last
Level II fieldwork placement
Completed Scholarship Recipient Information Release Form.