Scholarship Application

Harold R. Partamian Scholarship,
Apelian Family Scholarship,
Armenian American Pharmacists’ Association (A.A.P.A.) Scholarship

Academic Year

Personal Information:

Your Full Name

Your Address

Your City

Your State

Your Country

Your Zip Code

Your Email

Your Phone Number

Names and Relationship of Armenian Parentage:

Your Mother

Your Father

Education (list name of institution, city, state, and year of graduation):

Hight School

City, State

Year of Graduation

College or School of Pharmacy

City, State

Year in Which You WIll Graduate

Select Your Current Academic Year

Other:

College, University

City, State

Years Attended

If applicable, Year of Graduation

Plans for Post-Graduate Education

Pharmacy Work Experience:

Employer 1

Name of Employer

Pharmacy

City, State

Job Title

Dates of Employment

Employer 2

Name of Employer

Pharmacy

City, State

Job Title

Dates of Employment

Names of Faculty who you plan to ask to submit a letter of recommendation:

Faculty 1

Full Name

Title

Phone Number

Faculty 2

Full Name

Title

Phone Number

Click “Choose File” button to select and upload your Cover Letter and Academic Transcript.
Click submit when you have completed the application.

Upload File

Scholarship applicants should request references to send their reference letters at [email protected] email address.

Scholarship Application

Personal Information:

Names and Relationship of Armenian Parentage:

Education (list name of institution, city, state, and year of graduation):

Other:

Pharmacy Work Experience:

Employer 1

Employer 2

Names of Faculty who you plan to ask to submit a letter of recommendation:

Faculty 1

Faculty 2

Click “Choose File” button to select and upload your Cover Letter and Academic Transcript. Click submit when you have completed the application.

Click “Choose File” button to select and upload your Cover Letter and Academic Transcript.
Click submit when you have completed the application.