THE PNWD-IAI TRAINING SCHOLARSHIP PROGRAM

This program has been developed to assist Pacific Northwest Division IAI members, in good standing, with the cost attendance at the annual PNWD-IAI conference. Scholarships will cover the cost of full registration (Monday-Friday attendance, workshops, all lunches, President’s Social, and Banquet Dinner) plus $300 toward the member’s hotel stay, when applicable.

The number of Training Scholarship awards available each year will be determined by donations generated at the previous year’s conference (75% of profits to be used for the scholarship). At a minimum, one full scholarship will be offered annually.

Preference will be given to applicants who are self-paying but self-payment is not a requirement for application. Agency-paying individuals are highly encouraged to apply.

This program will be administered by a Scholarship Committee appointed by the President for the term of his/her office in conjunction with the Board of Directors.

The Training Scholarship Request Form will be posted on the PNWD-IAI website and announced in the quarterly newsletter prior to conference registration. Completed forms should be emailed to the PNWD-IAI Scholarship Committee at . Applications will be accepted until February 15, 2018, after which time the scholarship program will close and the winners will be drawn at random from the pool of self-paying applicants. If insufficient self-paying applications are received, winners will then be drawn at random from the pool of agency-paying applicants.

Scholarship Award recipients will be notified by the end of business day February 20, 2018.

An announcement of each year’s winners will be posted in the PNWD-IAI quarterly newsletter.

Submission of an application is not a guarantee that a scholarship will be awarded.

TRAINING SCHOLARSHIP REQUEST FORM

PNWD-IAI Membership #:

Name: Title:

Home Address:

City: State: Zip:

Work Phone: Home Phone:

Employed by:

Department and Business Address:

City: State: Zip:

Mailing Preference: Home ☐ Work ☐ E-mail:

Self-Paying for Conference Tuition ☐ Agency-Paying for Conference Tuition ☐

Submission of an application is not a guarantee that a scholarship will be awarded.

I affirm that I have read the published rules regarding the issuance of a PNWD-IAI Training Scholarship and agree to abide by them in full. I understand that failure to comply will result in future scholarship applications being denied. I also understand that I may not be selected for scholarship approval.

Signature Date