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Submit an OTC Medicine Safety Scholarship application

LifeSmarts wants to hear more about your experience as an OTC Medicine Safety Mentor. Complete this application to apply for an OTC Medicine Safety scholarship. Due: May 31, 2018. Five $1,000 scholarships will be awarded in June 2018.

OTC Medicine Safety Mentoring Scholarship Application

  • Presentation TitleDate(s) of PresentationSetting (school, club, org.)Number of children participants and grades 
    Add a new row
    List every presentation separately. Click the plus button to add another line. Each presentation must also be reported individually using the OTC Medicine Safety Presentation Report form.
  • Drop files here or
    Accepted file types: ppt, pptx.
    Any additional files you wish to add to your application may be added here. Applicants are required to submit a PowerPoint presentation at least 8-10 slides in length.
  • If any file(s) cannot be uploaded through this application, you may upload them to a shared file service (for example, Google Docs). Please list here the links to any shared files, including a description before each link (for example, "Photo - http://lifesmarts.org/wp-content/uploads/2015/09/IMG_1141.jpg"). Make sure the file's share settings are set to "Anyone may edit" so the judges can convert the file to PPT. Separate each link with a semicolon ;
  • This field is for validation purposes and should be left unchanged.