Midwives Alliance 2015 “SHINE”
Conference Scholarship Application
Please email this completed Word file to treasurer@mana.org with the subject line
“Scholarship Application” before July 31 to be considered. Preference will be given to
those who have not received a scholarship to attend MANA in the past. Applicants will
be notified by August 31.
We recommend that you register before the early bird deadline of July 31 in order to
benefit from the discounted early bird pricing (in the event you are not selected for a
scholarship). Those scholarship recipients selected will receive a full refund (excluding
any preconference workshops or extra ticket items purchased, which are not covered by
the scholarship).
Name:
Address (including City, State and zip code):
Cell phone number, and/or the best number to reach you:
Email address:
Years you have been a midwife (if applicable):
If you are a student, where are you studying and for how long?
What population of clients do you serve (currently or your future plans):
Have you received a scholarship to attend MANA in the past?
Are you a member of MANA?
Please write a short essay about why you wish to come to the MANA conference and
how you plan to use the information/experience in your future midwifery work.
(Maximum of 200 words, please use the “word count” feature to help keep to this limit)
Include anything else about yourself that you’d like the committee to take into
consideration. (Please limit yourself to 100 words.)
Thank you.
Notifications will be sent by August 31.