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Mazaheri Young Professional Scholarship - 2023 Application

Established by ACPA Member Mohammad Mazaheri, this scholarship supports the participation of professionals new to their field the opportunity to attend ACPA’s Annual Meeting. The Mazaheri Young Professional Scholarship provides one $1,000 award annually (subject to fund availability) to be used toward meeting registration, travel, and lodging expenses related to ACPA’s Annual Meeting. The recipient also receives a one-year ACPA professional membership.

To be eligible for the Mazaheri Young Professional Scholarship, individuals must have completed training and have worked in the cleft/craniofacial field for less than 10 years. Professionals from all specialties related to cleft and/or craniofacial care are encouraged to apply. This scholarship is open to ACPA Active or Transitional members and non-members.

Applications are due Tuesday, November 15, 2022.
1. Applicant Information *This question is required.
2. Are you currently a member of ACPA? *This question is required.
6. Most Recent Education
  *This question is required.
7. Do you have any additional schooling? *This question is required.
Additional Education
Do you have any additional schooling?
Additional Education
8. Current Employment *This question is required.
11. Have you ever attended ACPA's Annual Meeting? *This question is required.
13. Please attach a letter of endorsement. *This question is required.
14. I verify that this application was completed accurately by the person named below. *This question is required.
Signature of