Surge Application - Rizing Tide

Apply for the HODS and AACE Residency in EMG Scholarship

The general Surge scholarship application window is now closed. Rizing Tide is currently accepting applications only for the HODS and AACE Residency in EMG Scholarship.

Surge Application

First Name

Middle Name

Last Name

Gender Identity

Chosen Pronouns

Race and Ethnicity (Select all that apply)

Email

Phone/Mobile

Cost of Residency Program

Which residency scholarship are you applying for?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Education

Tell us about your educational history—and your aspirations for residency!

Last School Attended

Cumulative GPA

List any co- or extra-curricular activities you participated in during your time in PT school or as a licensed PT professional. Include community activities and other group memberships.

List any awards, honors, or achievements you earned as a PT student or during your PT career.

What residency program do you hope to attend?

What do you hope to do or accomplish after completing your residency?

Essay and Supporting Documentation

Short Essay Questions

We want to understand what makes you, well, you! To help us get to know you better, please answer the following questions about your drive and world perspective. Please answer all three questions, and limit each answer to 500 words.

Limit each answer to 500 words.

What does it mean to be a community member, and how can a strong community presence affect the lives of its members? Provide an example of a time you contributed to your community.
We value transparency, integrity, and vulnerability, so we want to hear about a time that things didn’t go according to plan. Tell us about a failure you’ve experienced in your life and what you learned from it.
Describe your personal core values. Explore why they’re important to how and how they affect your day-to-day life.

Three Short Essays

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Transcript

Upload your PT program transcript here.

Transcript

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Acceptance Letter

Upload the acceptance letter from the residency program you plan to attend here.

Acceptance Letter

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Letters of Recommendation

Please upload two letters of recommendation below. Ensure the letters were written by a previous teacher, professor, or industry professional and that they answer the following questions:

How do you know the scholarship applicant?
What qualities do you see in this individual?
Why do you feel this individual should receive this scholarship?

Two Letters of Recommendation

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How did you hear about this scholarship?

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