Merit Professional Development Scholarship Program Application

Please complete the following application to apply for a scholarship for a Merit Professional Development course. All fields are required. Following your submission you will receive an email reviewing the contents of your submission, with spaces for your signature and that of your supervisor or manager. You may return the signed document by fax or postal mail, or send a scan by email.

Select the Course (required)

Your First Name (required)

Your Last Name (required)

Job Title (required)

Organization Name (required)

Your Email (required)

Your Daytime Phone Number (required)

Dollar Amount of Scholarship Being Requested (required)

Please describe your interest in attending this course. How will it enhance skills that are needed in your current position? How will it enable your future development and professional advancement? In what ways will your attendance benefit your organization? (required)

Please describe your organization's need for scholarship funding. What are the current constraints on professional development funding that a scholarship would help address? (required)

If you have questions or need assistance, please send email to