This scholarship in memory of Jaclyn N. Maxwell.

For more information about the election criteria, click here.

Materials for Submission & Directions

Please ensure you have all of the required information ready for upload prior to starting your application.   IMPORTANT: Please include your last name in all file names. 

1. Prepare a photo (head shot) for upload. NOTE: Please include your last name in the file name.
2. Prepare your answers to the online application questions.  In addition to personal information, you will be asked to provide responses to the following questions:
   • List any academic honors, awards, or scholarships and any honorary societies to which you have been selected while in PT/PTA school or as an undergraduate.
     
   • List your experiences and engagement with professional, service, and community organizations. Include attendance and elected and appointed positions while in PT/PTA school or as an undergraduate.
     
   • Please describe your greatest customer service moment.
     
3. Be prepared to sign the publicity release.  You can view the publicity release here.
4. Verification of credit hours signed by the department chair - in the PT/PTA department at your school. The applicant may not verify credit hours. Click here to download the form and be prepared to upload the document in a PDF format.  NOTE: Please include your last name in the file name.
5. Official transcript indicating cumulative PT/PTA specific GPA in a PDF format for upload.  NOTE: Please include your last name in the file name.
6. Prepare your nominee statement to be uploaded (MS Word or Google Doc) into the application field.  NOTE: Please include your last name in the file name.
   • Nominee statement should provide a clear, concise statement (up to 1200 words), discussing:
   • • evidence of a leadership role in addressing current issues in physical therapy;
     • participation in state and national APTA activities;
     • how your education and experiences have prepared you for a career in physical therapy and;
     • how you plan to contribute to the profession in the next three to five years.

Directions:

Prepare all application documents (application information, photo, nominee statement, verification of hours, and official transcript) prior to beginning the online application process. Once your online application is submitted, you will not have an opportunity to make changes to the application.

All applications are due by  Friday, November 10, 2023.

NOTE: Be sure your information is complete, as incomplete nomination packets will not be considered by the GFPT Scholarship Committee. There will be no follow up with students regarding incomplete applications.