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Scholarship Application

2008 Scholarship Applications - Updated

To be considered for a Winter Institute scholarship, you must submit your completed application electronically by midnight, October 31, 2008.

In this application, you are required to upload a resume, cover letter, and two letters of recommendation. Please prepare them before you begin this form. Information regarding scholarship guidelines and expectations can be found on the following page: www.eshow2000.com/scholarship/scholarshipguidelines.cfm.

First name

Last name

Organization

Email

SECTION 1 - APPLICANT INFORMATION
Have you previously received an Institute scholarship? [REQUIRED]
	Yes No

Position [REQUIRED]
	Executive Director/CEO Senior Management Operations Staff Volunteer

Years of Experience [REQUIRED]
	None Less than 2 years 2 to 4 years More than 4 years

Institute Class Level [REQUIRED]
	1st year 2nd year 3rd year 4th year

Site [REQUIRED]
	Winter (January 4-8, 2009)

SECTION 2 - INDUSTRY, COMMUNITY, AND LEADERSHIP ACTIVITIES

List involvement in industry groups

(e.g., state executives organization, other U.S. Chamber programs, ACCE, ASAE)

1.
2.
3.
4.

List involvement in community and leadership activities

(e.g., civic groups, local boards, Institute volunteer role)

1.
2.
3.
4.

Resume Upload [REQUIRED]
	Please upload your resume here:

Cover Letter Upload [REQUIRED]
	Please upload your cover letter explaining how a scholarship would be beneficial to you and your organization.

First letter of recommendation [REQUIRED]
	Two letters of recommendation should accompany your application. Please upload the first letter here:

Second letter of recommendation [REQUIRED]
	Two letters of recommendation should accompany your application. Please upload the second letter here:

SECTION 3 - ORGANIZATION INFORMATION
Number of employees that participated in Institute in 2008:

2007 gross annual income: [REQUIRED]
	Less than $250,000 Between $250,000 and $750,000 More than $750,000

2007 performance to budgeted income goal [REQUIRED]
	Exceeded Met Fell short

Briefly state the greatest challenge your organization will face in the next 3 years (three sentences or less). [REQUIRED]

U.S. Chamber of Commerce membership number
	Membership in the U.S. Chamber of Commerce is required to receive a national scholarship. For information on becoming a U.S. Chamber member, please call the Federation Relations Division at 202-463-5560.

SECTION 4 - ORGANIZATION AND INDIVIDUAL COMMITMENTS

Financial Support Agreement [REQUIRED]

Institute scholarships provide financial support toward the cost of Institute fees. You will be responsible for the balance of fees, transportation, lodging, and miscellaneous expenses. Please feel free to explain how these expenses will be covered if you are awarded a scholarship. Indication of how additional expenses will be addressed will be a positive consideration in the evaluation of your application.

Yes, I agree to the above-stated financial terms

Further indication of how additional expenses will be addressed:

Board President or Organization CEO Support [REQUIRED]

My Board President or my organization's CEO supports this application and will recommend that the budget for next year include adequate funds to allow continued participation in Institute.

Yes, my Board President or Organization CEO agrees to the above terms.

CEO contact information

Prefix
First Name
Last Name
Credentials
Title

Applicant Agreement [REQUIRED]

If I am a scholarship recipient, I agree to assist Institute (either in a volunteer role or through a silent auction donation) and give my permission for use of my name and image in promotions.

Yes, I agree to these terms.