Foundation Exam Scholarship

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The ABRET Examination Scholarship is for candidates who will be prepared to register for one of the ABRET credentialing examinations within the year following the award. Therefore, candidates should be able to meet eligibility requirements and have started the preparation process (studying). The award will cover the examination fee, an ABRET ASAP subscription for 3 months, and an ASET membership for one year.

Candidates are being judged on the following:
• Demonstrated Financial Need
• Preparedness for their Upcoming Exam
• First-time credential applicants only
• Demonstrated eligibility (within 12-mos) to sit for the R. EEG T., R. EP T., CAP, or CNIM exam

Applications are accepted each quarter of the year. Complete and submit the form in its entirety along with the requested attachment no later than the end of a calendar quarter, i.e., March 31, June 30, September 30, or December 31. At the end of each quarter, the ASET Foundation Board of Directors convenes to review the applications received and selects the recipients. Incomplete applications will not be considered.

Each quarter, two awards will be issued. One for an international candidate, and one for a domestic candidate.

Your Information

First Name *

Last Name (Surname) *

(if you only have one name, put that down for both First and Last name)

Your Street Address *

Address Line 2

City *

State *

Country *

Zip Code *

Phone Number *

Email Address *

Employment Information

Position/Title *

Name of Employer *

Employer Address *

Address Line 2

City *

State *

Country *

Zip Code *

Phone Number *

Current Job Responsibilities *

Years with Current Employer *

Number of Years Employed in Neurodiagnostics *

What type of organization do you work for? *

If other, please list the type of organization *

Eligibility

ASET member ID# (if applicable)

Year Joined (if applicable)

What professional credentials do you currently hold? *

Please list any credentials not listed

Which ABRET exam do you plan to apply for? *

For which ABRET R. EEG T. Pathway are you eligible? *

For which ABRET R. EP T. Pathway are you eligible? *

For which ABRET CNIM Pathway are you eligible? *

For which ABRET CAP Pathway are you eligible? *

When do you plan to take the exam? *

Briefly describe why you believe this pathway is correct for you. (i.e. What have you done to meet the pathway requirement?) *

Preparedness

What formal Education or Training have you received (check all that apply) *

If completed a formal program, list school(s) attended and year(s) of completion *

Please list any other training have you received *

What board preparation courses have you completed? *

What else have you done to prepare for the exam? *

What conferences or industry meetings have you attended? (conference and year) *

Have you sat for this exam before *

If so, when, and what have you done to improve your chances of success this time? *

Financial Need

What is your Annual Income? * 🛈

What is your Total Household Annual Income? * 🛈

What is the Number of Dependents in your Household? (people you support) * 🛈

Do you have any outstanding loans for your neurodiagnostic education? *

If yes, approximately how much is owed? *

Have you previously received a scholarship or grant from the ASET Foundation or ASET? *

If so, in what year? *

Have you ever received any funding for professional development from any other organization? *

Does your employer reimburse any part of your education or professional development costs, including the cost of this exam? *

If so, how much? *

Personal

In each section below, using 180 words or less, please tell us about:

Your general interests and activities *

0/180 words

Your career and professional Goals, and where you see yourself in 5-years *

0/180 words

How will earning these credentials help you in your day-to-day job, or aid you in your long-term career and/or professional goals *

0/180 words

By typing your name below and submitting this application, you certify that you personally completed this application and the information provided is complete and accurate. Further, you understand and consent to the submitted application including answers to the essay question becoming the property of the ASET Foundation and being shared with the Scholarship Committee and Donor(s).

Applicants full name *

Date * +

Applications are due no later than the end of each quarter, i.e., March 31, June 30, September 30, or December 31.

R. EEG T.	R. EP T.
CNIM	R. NCS.T.
CNCT	CAP
CMEG	CLTM
RPSGT	NA-CLTM
Other	None