membership scholarship application

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Grants Professionals Association
Miami Valley Chapter
MEMBERSHIP SCHOLARSHIP APPLICATION
The MVGPA membership scholarship fund was established to help members obtain
GPA membership. The following criteria are required for scholarship consideration.
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MVGPA will not pay membership dues to another organization.
Awards will be prioritized to members who demonstrate financial need.
Awards will be determined according to MVGPA financial limitations.
Awards will not exceed National’s fees.
Recipients are required to become a member of the MVGPA chapter and are
responsible for paying the chapter fee.
Awards to a repeat recipient will following a “weaning off” process:
o First award at 100% of membership costs
o Second award at 75% of membership costs
o Third award at 50% of membership costs
o Fourth award at 25% of membership costs
o No fifth awards will be made. At this time the member is ineligible for any
future membership scholarship awards.
Recipients will agree to attend a minimum of 50% of Chapter meetings.
Recipients will agree to serve on an MVGPA committee of their choice.
If scholarship recipients are non-compliant with the above-stated requirements of
their award, they are no longer eligible for any future scholarship awards from
MVGPA, to include both membership and conference scholarships.
The MVGPA Board of Directors has the final decision on all applications.
Please tell us about you:
NAME ________________________________________________________________
POSITION: ____________________________________________________________
ORGANIZATION: _______________________________________________________
ADDRESS: ____________________________________________________________
CITY/STATE/ZIP: _________________________________FAX #:________________
WORK PHONE #:___________________ HOME/CELL PHONE #: ________________
EMAIL ADDRESS: ______________________________________________________
My agency (please check only one):
______ DOES pay for GPA dues
______ DOES NOT pay for GPA dues
Have you received a membership scholarship from MVGPA in the past?
(Circle only one.)
YES
NO
If yes, in what year? ___________________
Please tell us your reason for requesting this scholarship. Attach a separate page
if necessary.
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If awarded, I understand that I am responsible for paying the fee to become a member
of the Miami Valley Chapter. I agree to attend a minimum of 50% of Chapter meetings
and serve on an MVGPA committee of my choice. I understand that if I am not
compliant with these requirements, I will not be eligible for any future scholarship
awards from MVGPA.
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Signature
________________
Date
Return this form to:
Andrea Hoff, MVGPA President
451 West Third Street, 9th Floor
Dayton, OH 45422-3100
Phone (937)496-7622; Fax (937)496-7714
[email protected]
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BOARD ACTION: THANK YOU FOR YOUR REQUEST - IT WILL BE CONSIDERED
AT THE NEXT MVAAGP BOARD MEETING. IF APPROVED, YOU WILL RECEIVE A
WRITTEN NOTICE OF APPROVAL.
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