MPI Philadelphia Area - Scholarship Application

Membership Scholarship Application - 2018-2019

Thank you for applying for a MPI PHL membership scholarship to the 2018-2019 monthly programs and education institute.

Please read the scholarship guidelines and criteria here before completion of the application. All applications and/or questions should be e-mailed to membership@mpiphl.org.

Which Scholarship Are You Applying For?

Coverage Requested

Application Submission Date

Name

MPI Membership #

Membership Type

Member - Preferred/Premier Level

Member - Affiliate

Non-Member & Essential Level

MPI Student / Faculty

Non-Member Student / Faculty

Other...

Prospective Member?

Yes

Phone

Address

City

State

Zip Code

Country

Your social media "handles," if any

Current Employment Status

Current Employer

Current Title?

Role/Major responsibilities

What are your professional goals (long or short term)?

How do you feel this scholarship will assist in reaching your professional goals?

Why are you requesting funding assistance? Please describe your need for a scholarship.

Have you attended any MPI PHL Chapter events or MPI Global events? If so, please describe your experience.

Yes

If so, please describe your experience.

What specific forms of engagement with MPI do you expect to take advantage of with your membership?

Other information you feel important for us to know

New code

Please type the code above

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Membership Scholarship Application - 2018-2019

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