Application for Scholarship - CSI National Conference

Applicant Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Mobile Phone Number *

Email Address *

Employer (Enter N/A if not applicable) * 🛈

Are you a Full-Time Student (Full time is defined as 12 hours of undergraduate courses; 9 hours of graduate courses.) * 🛈

Yes

No

Please upload the following documents as attachments to this application:
These documents should be uploaded in the appropriate field below.

Professional Resume
Employer Letter of Support
Reference Letters

This scholarship includes funding up to $2,500 to assist an individual attending the CSI National Conference. These funds cover one year of membership in CSI, full registration to the 2024 CSI National Conference, including any applicable pre-conference events.

Professional Resume *

Employer Letter of Support (Must include agreement for support to attend the 2024 CSI National Conference and should list any volunteer goals the employer is willing to support.) * 🛈

Reference Letters (Three to five letters of recommendation; can be from either academic or professional sources.) * 🛈

Please provide your profile story. This story should be no more than 500 words, telling the reader about your CSI related activities, what you have done, and what you plan to do with your experience at the 2024 CSI National Conference in Houston, TX. Your profile story should answer the question “What do you want the Review Committee to know about you?” (Limited to 500 words) *

0/500 words

Please provide a narrative of what are you hoping to gain from attending the National Conference. (Limited to 500 words) *

0/500 words

If I am awarded this scholarship, I commit to the following:

I will receive support from my employer to attend.
I will commit to working with a mentor assigned by CSI.
I will provide a testimonial, to be provided after the CSI National Conference, describing the
value of attending the conference and what it meant to you to be given the opportunity to
attend.
I will update my profile story and appropriate releases.
I will promote CSI and the CSI National Conference through my Social Media accounts and other
CSI-related channels (i.e. CSIConnect, CSI’s LinkedIn page, CSI’s Twitter, etc.).
I will write an article about one meaningful session, to be published in a CSI publication, either
online or in print.

By checking this box, I agree to all the terms listed in this application. *

I Agree