URL

This field is for validation purposes and should be left unchanged.

Instructions: Complete this form and submit it to Spooner Human Resources at least 90 days before final semester/year begins.

Applicant Name(Required)

First Last

Phone(Required)

Country Phone Number

Email(Required)

Enter Email Confirm Email

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Permanent Address

Street Address Address Line 2 City State ZIP Code

Spooner’s Tuition Assistance program is only available for accredited Physical/Occupational Therapy graduate programs.

Academic Institution Name(Required)

Academic Institution Address(Required)

Academic Institution Billing Phone Number(Required)

Country Phone Number

Is the academic institution accredited?(Required)

Yes

No

Program Name(Required)

Program Start Date(Required)

Program End Date(Required)

Spooner’s Tuition Assistance program is only available for accredited Physical/Occupational Therapy graduate programs.

Final Semester(Required)

Spring

Summer

Fall

Winter

Graduation Date(Required)

Final Tuition Amount(Required)

Attach supporting documentation showing tuition cost.(Required)

Accepted file types: jpg, jpeg, png, pdf, doc, docx, csv, Max. file size: 50 MB.

Please explain how this program relates to why you believe you should receive tuition assistance from Spooner.

Attach Applicant Statement that responds to the following essay questions:

Why do you want to build your career in private practice, particularly at Spooner?
What impact do you see making as a PT/OT when it comes to the future of the profession itself and in serving your community?
What prior experience have you had that shaped your desire to work as a PT/OT (e.g., as a team player, in leadership roles, etc.)?

Essay File(Required)

Accepted file types: doc, docx, pdf, txt, rtf, odt, Max. file size: 50 MB.

Also:

Provide one letter of recommendation from a current or former employer, clinical instructor, academic instructor, or community leader.

Letter of Recommendation(Required)

Accepted file types: doc, docx, pdf, txt, rtf, odt, Max. file size: 50 MB.

By signing below, I certify that the information provided is accurate and complete.

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Spooner Tuition Assistance Program