Innovative Solutions. Technical Excellence.
1159 Business Park Drive, Traverse City, MI 49686
800-333-0958 / FAX: 855-900-6119
api-pt.com
$2000 Scholarship Application
Student Information:
___________________________________________________________________________________________________
First Middle Last
___________________________________________________________________________________________________
Street Address City State Zip
___________________________________________________________________________________________________
Hometown City State
________________________________________ ______________________________________________
E-mail Phone
University/College attending:
_______________________________________________________________________
Current Year: ________________________ Current GPA: _______________________
**Student: Only Junior or Senior CLS students are eligible for the API Scholarships. Please provide responses to the three
questions shown below. You may use attachments in responding with the submitted application.
**Program Director: As required for eligibility, please attach a letter of recommendation of the student nominee.
Question 1: Describe an experience from your life and explain how this experience influenced your decision to pursue clinical
laboratory science.
Question 2: Discuss a special attribute or achievement that sets you apart from other potential candidates to receive this award.
Question 3: Explain the importance of clinical laboratory science in our current times, and your vision of how laboratory
science will evolve in the future.
Program
Director Information:
_
_______________________________________________________________________________________________________
Program Director Name and Title E-mail Phone
Name of Student Nominee: ___________________________________________________________________
University/College: _________________________________________________________________________
Program Director: Please provide a recommendation of the student nominee in the space below or with an attachment to this
application.
Student Signature____________________________________________________________ Date__________________________
Program Director
Signature__________________________________________________________________Date__________________________
Program Director – please email the application to Sondra Witkoske at switkoske@api-pt.com, or mail to API Scholarship Program,
1159 Business Park Drive, Traverse City, Michigan, 49686. Please do not send duplicate applications. Applications must be emailed
or postmarked by November 9, 2020. Scholarship winners will be contacted by phone by December 7, 2020. Names of scholarship
winners will be posted on the API website by December 31, 2020. For more information or additional forms, please go to the API
website at www.api-pt.com. If you have any questions regarding this scholarship, please contact switkoske@api-pt.com.
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