Scholarship Application


Application for 2018 KATPO Continuing Education Scholarship

Applicant Information

Employer Information


Guidelines and Conditions for Scholarship

Criteria for Eligibility:

  • Applicant must be a member of KATPO at the time of the 2018 meeting. You can download a membership application here. You can submit your membership application and dues concurrently with the scholarship application if you send by mail.
  • Applicant must submit an original essay titled: “How does certification benefit our patients?” The essay must be 300 words or less, typewritten and double-spaced on a separate piece of paper.
  • All applications must be submitted with a completed registration form and payment for the course.
  • Applications must be signed and must include all required information requested on the application.
  • All applications must be postmarked by January 31, 2018.

Selection of Recipients:

  • The scholarship covers registration for the 2018 KATPO Tech Bowl and Continuing Education Program to be held on February 23rd & 24th. The scholarship is non-transferable. Regrettably, the scholarship is void if the applicant is unable to attend the 2018 program.
  • There are two scholarships available. A committee appointed by the KATPO Board of Directors will conduct selection of the two (2) recipients. Their decision is final.
  • All applicants will be informed of the status of their application by February 11, 2018.
  • Winners will be recognized at the Member Meeting and will be given a check equal to their registration fee.

I attest that all information provided in this application is true and accurate to the best of my knowledge and that the essay is my own original work. I agree to the guidelines and conditions of the scholarship.

Please type your full name above.

Please type in today's date.


Please mail this signed application, the essay, registration form with payment, and membership application, if applicable, to:

KATPO, c/o Mona Carpenter, COMT
515 Leawood Dr.
Frankfort, KY 40601

You may also email the documents as an attachment to: ky.eye.comt@gmail.com. If you have any questions, please contact Mona Carpenter by email or call 859-948-1238.