in partnership with CONFIDENTIAL APPLICATION • • • • • • 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. Four (4) Conference Scholarships will be awarded Scholarship will include conference registration, hotel accommodations, airfare and daily per diem stipend up to CAD $2,000 per scholarship award. Scholarship application deadline is May 17, 2013 Scholarship award notifications will be made on June 1, 2013 via email. Scholarship Eligibility • • Must be an MPI member of a Canadian Chapter MPI member for a minimum of one year Not Eligible • Director on Canadian Chapter Board • Council Member on Foundation Board • Staff or Contractors working with MPI, MPI Canadian Chapters or the Foundation • Any member who has been awarded another scholarship to the WEC 2013 • Not a Hosted Buyer for WEC 2013 Section I: About You * First Name: * Last Name: * MPI Member #: Years of Membership: * Employer: (enter N/A if not currently employed) * Home Address: * City: * State/Province: * Postal Code: * Country: * E-mail: * Day Phone: Alternative Phone: Local Chapter: 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 Plans In a few words, please tell us; 1) What you hope to accomplish at WEC and how you hope to get it; 2) How you plan to use this knowledge in the future; and 3) How are you involved in your local chapter. *Your Goals: _______ I attest to the authenticity of the submitted information to the best of my knowledge. • IMPORTANT: Submit all required documents after you have completed the application via email to Christine Perry, CPerry@mpiweb.org or by fax to 972.855.2063.