CONFIDENTIAL APPLICATION
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Your information will be kept confidential except to screen and review the
information for award
We release your name for post-award publicity only if award is given.
(1) Conference Scholarship will be awarded to a Corporate Planner in the meetings
industry.
Scholarship will include conference registration, hotel accommodations, airfare and
daily per diem stipend up to $2,800 per scholarship award.
Scholarship application deadline is May 17,2013.
Scholarship award notifications will be made on June 1, 2013 via email.
Section I: About You
* First Name:
* Last Name:
* MPI Member #:
* Employer:
(enter N/A if not currently employed)
* Home Address:
* City:
* State/Province:
* Postal Code:
* Country:
* E-mail:
* Day Phone:
Alternative
Phone:
URL:
(enter your web address if you have a personal web site)
(Only the information below this area will be submitted to the review committee.)
Section II: About Your History
* Membership Type:
* Gender:
* # Years In Meeting Industry:
# Years with MPI:
CURRENT Employment Information
If you are a business owner, indicate
* Employment Status: the number of employees in your firm:
* Current Employer:
(enter N/A if not currently employed)
Current Title:
Role / Major Responsibilities:
Position You Report To:
Number of positions this person is from the top:
IMMEDIATE PAST Employment Information
* Employment Status:
If you were a business owner, indicate
the number of employees in your firm:
Past Employer:
Past Title:
Role / Major Responsibilities:
Position You Reported To:
Number of positions this person was from the
top:
FINANCIAL & HOUSEHOLD Information
* Total Household Income:
*No. of Children:
* Child care?:
* Sole Provider?:
PRIOR EDUCATION
*# Years of college:
Completed Degrees: Major
Institution
Year
*In the space allowed, please describe or list; 1) Other formal or informal
education/certification or experience which is important for us to know. Provide year
and institution when appropriate, but do not include individual workshops or other
related short sessions. Examples to list would be an employer-related Executive
Development Program or an all-day or more leadership event; 2) Leadership experience
in your life in general. Items to include would be leadership you have or are involved
with in community, church or school. Or, if you have not had the opportunity to lead
yet, how do you intend to do so?
Section III: About Your Plans
In a few words, please tell us; 1) What your dreams are, what you hope
to accomplish and how you hope to get it; 2) How you plan to give
back, or lead your business community to demonstrate the value of the
money given to you by MPI; and 3) How you plan to contribute to the
Meeting and Events Industry.
Your Goals:
Amount $
Requested:
Estimates acceptable. Please be specific.
Scholarship will
be used for:
Section IV: About Why You Need This Scholarship
In the space allotted here (or attachment), please tell us why you need this
scholarship:
_______ I attest to the authenticity of the submitted information to the
best of my knowledge.
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. If you have
questions, please contact Christine Perry, Manager of Foundation
Operations, cperry@mpiweb.org.
IMPORTANT: Print or save a copy and then e-mail to cperry@mpiweb.org