P.E.O. Program for Continuing Education Information Form – Potential PCE Grant Candidate Seeking Chapter Sponsorship In response to your inquiry regarding possible consideration for a grant from the P.E.O. Program for Continuing Education, please complete the following form and return it as an attachment to the following email address: pce@peodesmoines.org. Incomplete forms and/or nonspecific information will not be considered for forwarding as outlined in the paragraph below. If you meet each of the eligibility requirements for grant application consideration listed on this form, with the exception of sponsorship by a P.E.O. chapter, your information will be forwarded to a PCE chairman in the state/province/district in which you reside. The chairman will attempt to locate a chapter in your area willing to contact you regarding possible sponsorship: the forwarding of your information does not guarantee sponsorship for a grant. You may or may not receive further contact. If you are contacted by a P.E.O. chapter, eligibility must be reconfirmed by the chapter before the application process may begin. As a reminder: In order to protect the privacy of our members, chapter membership information will not be provided to interested candidates who are seeking chapter sponsorship. While grant consideration will be given for online courses, you must be living in the U.S or Canada for your entire course of study. Grants are NOT awarded to those in need of further education beyond the program for which the grant will be used before seeking employment. Name: Address: City: Phone: State/Province: - Zip/Postal Code: - Email: 1. 2. 3. 4. 5. 6. 7. 8. I confirm that I am a citizen of the United States Canada I confirm I am/will be studying and living in the United States Canada I confirm I am not enrolled in a doctoral degree program I am enrolled or accepted at: City: St/Prov: Country: US Canada Start date of the term or semester I would use this grant (mm/yyyy) I was a non student from (mm/yyyy) to (mm/yyyy) I will complete the educational program that will give me the marketable skill I am seeking on (month/year) My educational goal is: (degree and field of study) 9. In 300 words or less, specifically describe why you need to continue your education at this time. 10. In 150 words or less, state your employment goals upon the completion of the educational program in which you are currently enrolled and/or accepted. 1/2014