MPI Indiana Jack Langston CMP CMM Scholarship

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* 1. Applicant Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Please check one of the following:

Planner

Supplier

Faculty

Student

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* 3. Number of years employed in the meetings industry.

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* 4. Number of years as a MPI Indiana Chapter member.

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* 5. How would becoming a CMP or CMM make a difference for you?

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* 6. How would receiving the CMP/CMM scholarship help you?

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* 7. The CMP/CMM Scholarship will not cover all costs associated with preparing for/taking the exam. Who will cover the remaining costs?

Employer

Self

Employer and self

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* 8. To receive the scholarship this year the CMP or CMP exam must by taken by May 2022. When do you plan to take the exam?

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* 9. Is there any additional information you would like the scholarship committee to know?