Employment Status Are you working now (yes/no): If yes please complete below Number of Employer Type of Work Salary hours/week Do you plan to seek employment in NC immediately following graduation? Have you been offered a position in physical therapy at this time? If yes, where? Financial Assistance Status: If receiving help from other sources, will you be permitted to accept a scholarship? List income sources and amounts including loans, scholarships, wages, support from family members, etc.. Please total amounts at bottom. VI. Other List any other activities in which you have participated during the last 5 years (excluding high school) that demonstrate your merit for a scholarship or loan. Income Source Amount TOTAL
Employment Status Are you working now (yes/no): If yes please complete below Employer Type of Work Salary Number of hours/week Do you plan to seek employment in NC immediately following graduation? Have you been offered a position in physical therapy at this time? If yes, where? Financial Assistance Status: If receiving help from other sources, will you be permitted to accept a scholarship? List income sources and amounts including loans, scholarships, wages, support from family members, etc.. Please total amounts at bottom. Income Source Amount TOTAL VI. Other List any other activities in which you have participated during the last 5 years (excluding high school) that demonstrate your merit for a scholarship or loan.
Application_Form_-_General_.docx