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Scholarship Application
Rules and Deadline
•The deadline for scholarship applications each season is the 15th of December.
•Any Northwest member in good standing for at least two continuous seasons is eligible to apply for a Northwest education event registration fee or bookstore scholarship.
•Participants are expected to pay for any additional expenses related to the event such as: lift ticket(s), transportation, lodging, meals, personal miscellaneous expenses, etc.
•Scholarships are NOT awarded for membership dues, exams, or tryouts.
•All events must have a minimum number of participants in order to run REGARDLESS if you have received a scholarship. If the event you have applied for is cancelled, you will be able to select another event or choose to not accept the scholarship.
Your Name
*
First
Last
Email Address
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Your Snowsports School?
*
NAME of event you are applying for?
*
Is the event you listed above a NORTHWEST event?
*
This scholarship can only be awarded for Northwest events. It does not apply toward other Region's events or National events.
YES
NO
I am applying for a bookstore scholarship
Please select a Northwest event and then continue with this application. Thank you.
DATE of event you are applying for?
*
MM slash DD slash YYYY
LOCATION of event you are applying for?
*
Please state your current certification(s)
*
PSIA-NW awards a scholarship ONCE every three seasons. Have you applied and received a scholarship in the last three seasons?
*
Yes
No
Yes, but my event was cancelled and rolled to the next season.
Scholarships can only be awarded once every three seasons. If you have received a scholarship in the last three seasons, please apply at a different time. Thank you.
Please describe your future PSIA-NW commitments:
*
Share community or school activities and leadership positions during the last two years:
*
Briefly state your teaching goals and explain the contribution of education, professional development, and PSIA-NW activities toward achieving these goals:
*
Explain how a scholarship would benefit you:
*
Resume
*
Please upload your resume. Is should include your professional experience in chronological order, present position first.
Resume Upload
Accepted file types: pdf, jpg, doc, docx, rtf, txt, Max. file size: 8 MB.
Liability Release
*
I agree
You must agree and sign below before attending any PSIA-NW event.
Recognizing that skiing/boarding can be a hazardous sport, I hereby RELEASE AND FOREVER DISCHARGE PSIA-NW, PNSIA-EF, ASEA, the host area and their agents and employees and contractors from liability for any and all injuries of whatever nature arising during or in connection with the conduct of the event for which this application is made. Applicant hereby relinquishes and assigns to PSIA-NW and PNSIA-EF all rights to the use of Applicant’s name and likeness or pictorial representation in photographs, motion pictures or other representations concerning Applicant’s participation in said Event. I agree and approve PSIA-NW and PNSIA-EF to communicate with me electronically.
Acknowledge by accepting the scholarship awarded, the recipient agrees to write a report to the Foundation about their participation in the event or a write a report reviewing the educational materials provided, no later than the 30 days after participation in the event. By signing above, I understand and agree, if no report is provided to the Foundation, I will pay back the Foundation the amount awarded, immediately.
Signature
*