SEE BELOW FOR APPLICATION INSTRUCTIONS, ELIGIBILITY REQUIREMENTS,
DEADLINE, ETC.
INFORMATION ABOUT YOU, THE
APPLICANT
Name:
______________________________________________________________________
Position/Title:
________________________________________________________________
Institution:
___________________________________________________________________
Office Address:
_______________________________________________________________
_______________________________________________________________
Office Phone:
(________)________________ Office Fax: (________)___________________
Office Email:
________________________________________________________________
Home Address:
_______________________________________________________________
_______________________________________________________________
Home Phone:
(_________)_______________ Home Fax: (_________)__________________
Home Email:
_________________________________________________________________
I prefer to be contacted at my
(circle one): OFFICE HOME
I prefer to be contacted by
way of (circle one): U.S.MAIL PHONE FAX EMAIL
INFORMATION ABOUT THE CONTACT PERSON WHO CAN VERIFY
YOUR EMPLOYMENT
Name:
______________________________________________________________________
Position/Title:
________________________________________________________________
Office Address:
_______________________________________________________________
_______________________________________________________________
Office Phone:
(________)________________ Office Fax: (________)___________________
Office Email:
________________________________________________________________
MADE ADJUNCT SCHOLARSHIP
APPLICATION INSTRUCTIONS
ELIGIBILITY
To be eligible for the scholarship, you
must:
- Be an adjunct or part-time faculty or
staff member who is currently employed by a Mississippi college or
university (or equivalent institution)
- Work in a capacity that serves
developmental students as defined by MADE
- Not have received this scholarship
before
INSTRUCTIONS FOR COMPLETING APPLICATION
DEADLINE
The deadline for application is October
6, 2006.
AWARD DETERMINATION
The annual award will be determined by a
random drawing from the pool of eligible applicants.
AWARD AMOUNT
The award amount includes the conference
registration fee (but not the chapter dues) and at least $100 toward travel
and lodging expenses. The award is paid at the conference and not before.
RESPONSIBILITIES OF THE AWARD
RECIPIENT
If you win the scholarship, you will be
expected to attend the Scholarship Awards Ceremony at the annual MADE
conference.
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