Annika von Minden Scholarship
click here for past recipients
Courses are only held in NJ. If selected you must attend in the year selected.
You will be required to purchase required text books.
Date:______________
Name:_________________________________
Email Address:_______________________________________________
Address:____________________________________________________________________________________________
City:______________________ State:_________ Zip Code:_________
Phone Number:_____________________________________________
Facility:____________________________________________
Address:____________________________________________________________________
City:__________________ State:_______________ Zip Code:________
Phone Number:_______________________________________
2 References: Name:_______________________________________
Phone Number:____________________________________________
Name:____________________________________________________
Phone Number:_____________________________________________
What seminar are you asking for scholarship? Please check one.
MEPAP 2nd Edition Part 1 ____
MEPAP 2nd Edition Part 2 ____
Please write a one page compelling letter (typed) about why you should be
selected for this scholarship. Please include why you are working in the
activity profession
and how long you have worked in this field. Please include a typed resume.
We will make the decision by the 1st week in April. Deadline for submission
is March 31 2004 for spring and fall sessions.
Spring usually runs in Middlesex or Essex County. Saturdays. Generally
April through July 2004. Fall usually runs Middlesex or Essex County, Saturdays
Septemeber
till March 2005. We reserve the right to cancel and there is no fiancial
reimbursement if the course is cancelled.
Please sign and date:____________________________________________
Please mail to : Alternative Solutions in Long Term Care
103 Valley View Trail
Sparta NJ 07871
activitytherapy@aol.com
973 729 6601 fax 973 729 1560
Please email all questions.