Certifications and Conferences Scholarship Form
I hereby certify by submitting this application that:

All my answers are true and correct to the best of my knowledge.
I am a female and a current member of Fermenta.
I have read the Qualifications & Requirements for Fermenta Scholarship Opportunities.
Should I be granted a scholarship, I agree to provide feedback of the experience to Fermenta, and give Fermenta the right to publish such report and my photograph.
I understand that incomplete and/or late applications will not be considered.

Qualifications & Requirements:

You must be female and a current Active Fermenta Member.
Applications must be received by the deadline listed.
Only one application per member per opportunity will be accepted.
Members may only win once per 12 month period.
Scholarships not used within 12 months of receipt will be forfeit.
Recipients must provide feedback of the experience to Fermenta in the form of a written report, online blog, photo album, in-person presentation, or other mutually agreed upon format.
Rights to publish such report and photographs of the winner are granted to Fermenta.

Incomplete and/or late applications will not be considered. Scholarships are only open to female Fermenta members who are at least 21 years of age. Otherwise, age, race, financial need, and nonreceipt of a Fermenta scholarship opportunity are not conditions of eligibility for any award. Fermenta Executive Board members and Fermenta Scholarship Committee members are ineligible.
What scholarship are you applying for? *
Are you an Active Member of Fermenta? *
If you are not an Active Member of Fermenta, you are ineligible to apply for a Fermenta scholarship. To become a member, please visit www.fermentamichigan.org and click on Join Us.
What current fermentation industry are you associated with? *
Your answer
In what capacity? *
Your answer
For how long? *
Your answer
Any other previous experience in the industry? Please describe briefly *
Your answer
Why did you select this opportunity? *
What benefits do you expect to gain from this opportunity? (1000 Characters or less)
Your answer
What goals (3 to 5 years) do you have in the fermentation industry? (1000 Characters or less) *
Your answer
How will this particular opportunity help you reach those goals? (1000 Characters or less) *
Your answer
Briefly summarize other applicable experience(s)e you feel have laid a foundation for this opportunity. (1000 Characters or less) *
Your answer
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email address *
Your answer
Phone number *
Your answer
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