Application for Scholarship - CSI Certification

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 $1,500 to assist an individual in completing any CSI Certification, with preference to the CDT® or CCPR™. With these funds, it covers one year of membership in CSI, the certification exam fees, associated learning materials, free access to the CSI Learning Library listening sessions, and costs for a chapter or region study course.

Professional Resume *

Employer Letter of Support (Must include agreement for support to attend the CSI National Conference upon receiving your certification. This should also 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 tell the reader about your CSI related activities, what you have done, and what you plan to do with your certification. Your profile story should answer the question “What do you want the Review Committee to know about you?" (Limited to 500 words) *

148/500 words

Please provide a narrative of how this certification will assist with the progression of your career. (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 certification process, describing the value of receiving the certification and what it meant to you to be given this opportunity.
I will update my profile story and appropriate releases
I will promote CSI and the CSI certification programs 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 this meaningful experience, 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