Dr. Don Cross Pathway to Leadership Award Application
Dr. Don Cross Pathway to Leadership Award Application
Deadline to Apply: September 10, 2026
Name
Name
*
First
Last
Email
*
Mailing Address
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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New Hampshire
New Jersey
New Mexico
New York
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Postal / Zip Code
Country
United States
School you are currently enrolled in:
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Current GPA
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Graduation Date (anticipated or actual)
*
Describe your leadership experience:
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Describe your educational background
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Describe your current involvment with a chiropractic state association or future plans to engage with a chiropractic state associaton
*
What are your goals post-graduation
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Describe how this award would benefit your professional development
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Are you able to travel to Louisville, KY November -7, 2026?
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Are you able to travel to Louisville, KY November -7, 2026?
Yes
No
Unsure
Upload your transcript
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Attach Files
Upload a professional letter of support (advisor, association leader, professor, etc.).
*
Attach Files