• 605-430-9361

MOON's BRIDGE SCHOLARSHIP APPLICATION

Moon’s Bridge, Inc. will award (2) $250.00 annual scholarships to a graduate of an accredited
Occupational Therapy Assistant program upon review of final transcript depicting a minimum of a 3.50
GPA.

All fields marked with an asterisk (*) are required

 

 

(If your resume answers one of these questions, please attach it.)

A. List any academic honors, awards, and/or membership activities while in OTA college
B. List your hobbies, outside interests, extracurricular activities and college related volunteer activities:
C. List your non-college sponsored volunteer activities in the community:

STATEMENT OF ACCURACY FOR APPLICANT


I hereby affirm that all the above stated information provide by me is true and correct to the best
of my knowledge. I also consent that if chosen as a scholarship winner my picture may be taken
and used to promote Moon’s Bridge, Inc. scholarship program.
I hereby understand I will not submit this application without all required attachments and
supporting documentation. Incomplete applications or applications that do not meet the criteria
with not be considered for this scholarship.

CHECKLIST__APPLICATION __ESSAY __RESUME __COLLEGE TRANSCRIPT
MAIL COMPLETE APPLICATION PACKAGE TO MOON’S BRIDGE, INC
C/O MONIKA SHUMBO-POISSANT,OTD,OTR/L,ATRIC
3958 SOUTH DEVANE DRIVE – YUMA, AZ – 85365
Cell Phone 605-430-9361 Email – Moon@moonsbridge.com

The deadline for this application to be received by Moon’s Bridge, Inc. office is: August 1st or April 1st