The Scholarship Committee is Happy to Announce a New Stipend
1st Year ADA Membership Stipend
(Please submit by May 1)

In February The FDA Board of Directors approved a proposal to offer 5 stipends of $100 each to newly eligible RD/DTRs. Students who achieved eligibility for active membership from June 1 to May 31 are eligible to apply.

The following criteria must be met to be eligible for one of these stipends:

  • Applicants need to have been a student ADA member.

  • A letter of intent, with a maximum of 500 words, must be submitted listing professional goals.

  • An endorsement letter needs to be provided by the Program Director/Preceptor.

  • A Volunteer Pay Back of one year is required at either the district or state level -

    • District level must be at least a committee chair position with a note from the District President documenting the appointment.

    • State level must be at least as a committee member with a note from the FDA President documenting the appointment.

  • Proof of payment needs to be submitted before the check can be issued.
Applications are due by May 1.
 

1st Year ADA Membership Stipend
Application Form
(Please submit by May 1)

Eligible RD/DTR INFORMATION:

First Name:     Middle Initial:     Last Name:

Address Line 1:

Address Line 2:

City:

State: FL

 Zip Code: -

E-mail address:

Telephone: ( ) -

FAX: ( ) -



Reference Information:

Name of Program Director/Preceptor:

Position-Subject Taught:

Reference Address:

Telephone Number: ( ) -

Email address:

How long have you known this reference: Year(s)     Month(s)



Paste Letter of Intent (500 word maximum) in box below:


Paste Letter of Reference in box below:

Please check, if you agree to these terms. If selected for one of the five student stipends, I agree to volunteer a year of my time to serve the

  • District level must be at least a committee chair position with a note from the District President documenting the appointment.

  • State level must be at least a committee member with a note from the FDA President documenting the appointment.

Electronic Signature (required). Please check this box if you agree your information is accurate. FDA is not responsible for any information not provided.