LEN S. BURTON MEMORIAL SCHOLARSHIP

APPLICATION GUIDELINES

PGO does not provide Parkinson's training courses for instructors. The scholarship program allows us to assist with the training/certification costs provided by external entities after the applicant has decided upon a training program they plan to pursue.

It is the applicant's responsibility to select their own Parkinson's training program that would best fit their interest, field of study, professional experience, etc. We cannot advise which training program for the applicant to pursue as each program entails a different set of skills, academic/background knowledge, or additional coursework/educational prerequisites.

The applicant is responsible for making sure they have reviewed and met the framework requirements for their particular training program.

Scholarships are accepted on an ongoing basis.

Funding amount is determined by a case-by-case basis.

Only one training request is allowed per application.

Submitted applications will be evaluated by our Board of Directors at their next monthly meeting. Recipients will be notified via email of the board’s decision within a month of the meeting.

For questions: 417-814-6067 or scholarship@parkinsonsgroup.org

Len S. Burton Memorial Scholarship Application

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Name of training/education you are looking to complete:

Name of organization providing the training:

Organization's website:

Training will be completed:

Online

In person

Both online and in person

Cost of training:

Expected completion date of training:

Please provide a detailed resume highlighting any academic or professional experience you have had working with persons with Parkinson’s disease.

Please provide a cover letter explaining how you would improve quality of life for persons with Parkinson’s disease with this training AND how you plan to work with the Parkinson’s community or stay connected with our organization.

Please provide proof of any current licenses, certifications, etc. that are required or relevant to the training/education.

Please provide any additional documentation that you feel would help us in making a well-informed decision for your application.

Signature

Signature field is empty.

After completion of the training course, I agree to submit the required following items before payment of the scholarship is released.

• A copy of the training/course certification

• A valid receipt from the training organization

• An article written for use in an upcoming newsletter issue about their training/education and how it will benefit the Parkinson’s community.