Form due: January 15
By writing my name below and submitting this form, I confirm my commitment to participate in the Mentoring Future Professionals Program.
I understand that if I am selected as a scholarship award recipient, the Foundation will provide the following: MSHA Convention registration at the Student Rate; two nights paid Convention housing within the room block of the Convention hotel; one light meal and a schedule of available meeting times and events with my assigned professional mentor.
I understand that upon being selected as a scholarship
recipient, I agree to meet the entire requirements related to the program,
including:
•
To register for the annual MSHA Convention (to be held in
April) using the Student Attendee rate, and to submit my Convention registration for reimbursement to the Foundation.
•
To book a hotel room (if needed) within the Convention designated hotel block, and to submit my hotel
registration prior to the start of my stay for reimbursement to the Foundation.
•
To submit a photo of myself to the Foundation for acknowledgement and public
recognition of my participation in the program.
•
To arrive at the MSHA Convention no later than
9:00 am on the designated day.
•
To attend Awards Ceremony with my mentor.
•
To attend specific Convention sessions (to be
announced later).
•
To attend one scheduled light meal (lunch or
dinner as determined by the coordinators) during Convention with my mentor and
the other student award recipient/mentor(s).
•
To complete a written evaluation form at the
close of the Convention.
•
To complete a short article (approximately 300
words) describing personal Convention and /or MFFP experience along with a
photograph of myself for submission to the association’s newsletter/social
media.
•
All other costs, including parking and meals, will
be my responsibility and cannot be reimbursed.
Write Your Name Below:
