Mid-America Direct Marketing • Application

Application

Section 1: Personal Data

Name

Phone

Address

City

State

Zip

School

Year

Major

Graduation Date

Approx GPA

Please write a short essay, under 100 words, explaining to the Scholarship Selection Committee why you would like to pursue a career in marketing.

Section 2: Student or Professional Organization Membership/Activity

Please list any memberships, positions elected, committees served, other activities and/or awards.

Section 3: Applicants Certification

I believe myself eligible for and hereby make application to receive the scholarship administered by the Mid-America Direct Marketing Association. I certify that all statements made in the application are complete and accurate. I understand that:

Falsification in my application or other attachments will disqualify my application.

A Selection Committee will select the recipient and its decision will be final.

Incomplete applications will not be considered.

If no acceptable candidate is found, no scholarship will be awarded for 2007-2008.

Scholarship will be issued directly to the attending school (listed above) for the benefit of the scholarship recipient.