2026 CAPA Community Outreach Scholarship Application - California Academy of Physician Associates

2026 CAPA Community Outreach Scholarship Application

Submission Deadline with all enclosures: Friday, December 12, 2025

Eligibility Requirements

Applicants of the Community Outreach Scholarship must:

Be a California resident or intend to practice medicine as a licensed PA in California after graduation
Be a student enrolled in a California ARC-PA or successor agency-approved PA program
Be a CAPA Student or Interim Student Member
Maintain good academic standing within their PA program, as defined and confirmed by the PA Program Director in a letter
Demonstrate financial need, in the form of receiving program or general financial assistance
Agree to the Statement of Intent: to practice medicine as a licensed PA in California, take the NCCPA Board examination within 60 days of graduation, and serve as a CAPA volunteer leader for at least one year within five years of graduation

Application Enclosures

CAPA Student Scholarship Application: Complete and be sure to indicate in the application which scholarship you are applying for
While applicants may apply for multiple CAPA and CAPA Foundation scholarships, they will be awarded only one. Past recipients of CAPA or CAPA Foundation scholarships are ineligible to apply.
Essay (MS Word or PDF format & MAX 500 words or 1 page) that encompasses the following:
- Personal and professional goals
- Why community service or philanthropy is important to the PA profession
- Description of activities you performed to promote community service, e.g. involvement in your community, your school, a student organization, or CAPA
- Why you believe you should be awarded this scholarship
Confirmation letter from the PA Program Director of your academic standing.
Financial statements demonstrating receipt of support from your school Financial Aid Office or other entity. All statements will be handled and kept confidential.

Fields marked with an * are required.

First Name *

Last Name *

CAPA Account Number

Please enter your CAPA account number

Phone *

Email *

Address Line 1 *

City *

State *

Postal Code *

PA Program *

If you selected other, please list the program

Graduation Date *

Please state your ethnic background *

Essay *

Essay (MS Word or PDF format & MAX 500 words or 1 page)

20MB max

Confirmation letter *

Confirmation letter from the PA Program Director of your academic standing.

20MB max

Financial Statements *

Financial statements demonstrating receipt of support from your school Financial Aid Office or other entity. All statements will be handled and kept confidential.

20MB max

Statement of Intent *

I intend to practice medicine as a licensed PA in California upon graduation and successful completion of the NCCPA Board examination (within 60 days of graduation). If selected as an award recipient, I further commit to serving as a CAPA volunteer leader for at least one year within five years of graduation.

I understand that only applications from current CAPA Student Members in good standing are eligible for consideration.

Please verify that you have checked the “I'm not a robot” checkbox.