Meeting Professionals International Ohio Chapter
SCHOLARSHIP APPLICATION 2015-2016
Applicant Name: / Date Applied:Company: / MPI Id #:
City, State, Zip:
Phone: / Fax: / Email:
1. Are you a planner or supplier?
2. Years in profession:
3. Years in current position:
4. Scholarship Applied For: (please place an X in the appropriate box)
CMP/CMM Certification:
MPI Membership (please include expiration date):
MPI MidAmerica Conference – March 2016 – Kalahari, Sandusky, Ohio
WEC 2015
5. Have you been awarded an MPIOH scholarship in the past 3 yrs.?
6. Are you receiving other scholarships for this event or certification?
7. Please give your current title, job description & responsibilities:
8. MPIOH Involvement:
Committees:
Committee Chair:
MPIOH Meetings & Events:
Bring a non-member guest to monthly meeting:
Bring a student as a guest to an MPIOH event:
Attend the MidAmerica Conference:
Attend WEC or PEC:
Article submitted is published in Define:
Submit article/photo (that was published) to local media highlighting MPIOH:
Published an article in national industry publication:
Presented at an MPIOH educational program:
Recruited new member(s):
Hosted or Facilitated CMP Study Group:
Other:
9. Please tell us why you are applying for this scholarship and how you plan on applying it to your professional
career:
Scholarship Amount Being Requested:* $___
Application Submitted By: ______Date: ______
Please return completed application to:
Jessi Konnagan
Association Connection
4010 Executive Park Drive, Suite 100
Cincinnati, OH 45241
513-563-8674
Fax: 513-563-9743
*Note: The amount requested will be reviewed by the scholarship committee and may not be the amount granted.