Pioneer Visionary Scholarship Application

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* 1. Please enter your contact information

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 2. Tell us about your business

Year Business Founded

Number of full-time employees

Number of part-time employees

Company website link

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* 3. Are you a Qualatex Balloon Network (QBN) Member?

Yes

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* 4. Are you a Certified Balloon Artist (CBA)?

Yes

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* 5. Scholarship you are applying for:

Treb Heining Pioneer Visionary Scholarship for decor professionals

Marvin Hardy Pioneer Visionary Scholarship for professional balloon entertainers

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* 6. Event for which you're applying:

World Balloon Convention

Twist and Shout

Other event (specify below)

Event Name

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* 7. What educational events have you previously attended? Please include years of attendance.

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* 8. Describe what skills you want to learn from the training experience at your selected event.

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* 9. Describe how you plan to implement the training in your business over the next two years. Please include specific objectives, a timeline for these objectives, and describe how you will track the results of this implementation.

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* 10. What type of business growth do you anticipate based on the training you will receive?

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* 11. What other investments do you plan to make in your business during the next two years? (i.e.: equipment, new employees, company vehicles, storefront, marketing initiatives and programs, etc.)

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* 12. What other information do you feel is relevant as we consider you for this scholarship?

Legal Agreement
Scholarship applications will not be returned to candidates. Scholarship awards are made solely at the discretion of the scholarship board. Each scholarship award is made to the recipient alone and may not be transferred to anyone else or used for any other event. In the event that a scholarship recipient cannot attend the event for which the award is made, no monies will be given to the recipient in lieu of anticipated event expenses. Pioneer Balloon Company and its agents are not liable for any legal actions that arise as a result of a recipient's attendance to a scholarship-funded event. Acceptance of a scholarship implies consent for Pioneer Balloon Company to publish and promote the recipient's name in any and all relevant publicity materials.

By submitting this application, I agree to be bound by the terms of the legal agreement, and I attest that all information on this application is true and accurate to the best of my knowledge.