APPLICATION FOR SCHOLARSHIP
ONE-YEAR IARP STUDENT MEMBERSHIP
Name:_________________________________________________________________
Address:_______________________________________________________________
City, State Zip:_________________________________________________________
Phone #:_______________________________________________________________
Fax#:__________________________________________________________________
E-mail:________________________________________________________________
College or University:___________________________________________________
Academic Program (Major):_____________________________________________
Anticipated Graduation Date:___________________________________________
Current GPA:__________________________________________________________
Current Areas of Volunteer Work/Community Involvement:
_______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Faculty Member Providing Recommendation*:___________________________
What is your purpose in entering the rehabilitation field and what do you
hope to accomplish?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Student Membership Scholarships are targeted for individuals who are in the last year of their
degree-seeking Program. In addition, individuals applying for student membership scholarships
must be in good academic standing in their Program. Applicants will also be evaluated in terms of
their participation in volunteer work and/or community involvement.
*Application must be accompanied by a letter of reference from a faculty sponsor.
**There are approximately 60 scholarships for one year Student Memberships available. One
scholarship will be dedicated to each IARP Chapter. Remaining applications will be placed in an
“at large” pool. If the scholarships dedicated to existing Chapters are not used prior to Feb. 1,
they will revert to the “at large” pool of applications!