Scholarship Application Instruction


Instructions for the Scholarship Application for the Michigan PA Foundation Annual Scholarship Award

Version 5.00, July 24, 2016

Changes from last version: Form redone, added requirement for nomination from Program Director


Must be a physician assistant student in good standing in their program and in their final clinical year currently enrolled in a PA Program in Michigan as of August 1, 2017, AND recommended for consideration of the Award by their Program Director.

Must exhibit one or more of the following:

1. Financial Need,
2. Outstanding scholarship,
2. Professional involvement, and/or
3. Community service.

Financial need means that which may impact on the student’s ability to concentrate on academic requirements for successful completion of physician assistant training. Professional involvement / Community Service can be whatever you believe to pertain: prior or current research, independent and organizational initiated volunteer activities and programs.


Completed Scholarship Applications must be received by August 30, 2017, which includes the verification of a physician assistant senior student status and the recommendation  for the award by your PA program director.

Submission Information

First complete the application, and then simply click the “Submit” button at the bottom of the application. Be sure to read the last paragraph which tells you what information we need your Program Director to verify. Note that this verification must be received before your application will be considered.


Scholarship Award recipients will be contacted by September 30, 2017. Formal Award presentation will be made at the Friday Student Challenge Bowl at the Annual Fall Michigan Academy of Physician Assistants CME Conference, The presence of the award recipients (or a stand-in person) at the Award Ceremony and permission for photographs is requested.

Privacy Information: Our Promise to you

We consider the information on the Scholarship Application you provide to be privileged and confidential. Only the Scholarship Application Review Committee will see your information. Particulars will not be shared with other Foundation Board of Directors members or outside parties. It will never be sold, bartered or released to any third parties, including your classmates or PA Program Personnel.

Legal Issues

Should we determine that you provided false information on your application, the Foundation will request the Financial Award be returned to us. We will pursue legal avenues should difficulties arise.

The Foundation reserves the right to use your name as a recipient of the Scholarship Award during the Award Presentation, in promotional materials, and to media outlets. Should you be selected to receive an Award, we will ask you to provide a short comment on how the Award was helpful to you in continuing or completing your PA education. We reserve the right to also use these comments in promotional material in fund raising activities.

Submission Criteria

Financial Need     75%

Scholarship            20%

Community Service/Professional Involvement     5%


Click here to go to Scholarship Application

Please do not complete Application using a cell phone or tablet: this has resulted in incomplete applications in past years.

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