Scholarship Application 2026-2027

AMT SCHOLARSHIP APPLICATION
AMT awards scholarships annually to members attending undergraduate/graduate programs and to high school graduates pursuing medical technology, medical assisting, dental assisting or phlebotomy studies.

Eligibility Requirements
- Be a graduate of, or a senior in, an accredited high school (G.E.D., is also acceptable) or an active AMT member.
- Be enrolled in a school accredited by an accrediting agency recognized by the U.S. Department of Education. Course of study must lead to a career in one of the disciplines certified by American Medical Technologists.
- Must be enrolled in a school/education program accredited by AMT
Application
- Complete this online form in its entirety. Incomplete submissions will not be submitted for review.
- Provide a minimum 500 word essay stating why you have chosen your field of study.
- Submit two letters of personal reference (may NOT be relatives).
- Submit prior to April 1.
Application Review
- The AMT Scholarship and Student Awards Committee reviews and makes final determinations on the scholarship recipients and the amount received. Only the recipients will be notified.
- Announcements of those selected to receive a scholarship will occur at AMT's Annual Meeting held mid-summer each year.
NOTES:
- Applicants pursuing careers other than those certified by American Medical Technologists will NOT be considered.
- Applications that are incomplete or received after April 1, 2027 will NOT be considered.
- Scholarship checks will be mailed directly to the recipients school. If receiving a scholarship will displace financial aid, recipients may be disqualified.

SCHOLARSHIP APPLICATION FORM
PERSONAL DATA
Full Name

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number
Format: (000) 000-0000.
E-mail
Have you applied for certification with AMT?
Applying for certification not required
Are you an active AMT member?
Provide your AMT ID Number
Who do you plan to certify with?

EDUCATION AND SCHOOL ACTIVITIES
High School where you graduated or now attend (or G.E.D.)

School Name

Street Address

CityState / Province

Postal / Zip Code
High School Graduation or G.E.D. Date of Certificate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Did you participate in any extracurricular activities?
Includes offices held, honors, scholarships, certifications, community involvement, etc
List activities
Are you currently enrolled in an educational program?
Name of Institution (must be AMT affiliated to apply)
Upload proof of enrollment/admission into a fall program

Cancelof
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Enrollment Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Graduation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please select your field of study

ADDITIONAL INFORMATION
Describe in 500 words why you have chosen your career

Cancelof
Two (2) Letters of Reference

This cannot be supplied by relatives
Cancelof
Head-shot (Optional)

Cancelof
I grant to American Medical Technologists (AMT), its representatives and employees the right to publish photographs of me and my property in connection with the above-identified subject. I authorize AMT to copyright, use, and publish the same in print and/or electronically. I agree that AMT may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
If you would like to be tagged on social media when your photo is posted please let us know the following:
Please provide an E-Signature
Should be Empty:

AMT SCHOLARSHIP APPLICATION

SCHOLARSHIP APPLICATION FORM

PERSONAL DATA

EDUCATION AND SCHOOL ACTIVITIES

ADDITIONAL INFORMATION