Michael Scott Scudder Scholarship
Please fill out the form to be considered for the Michael Scott Scudder MANIA® scholarship.
Name
*
First Name
Last Name
Club or Facility Name
*
E-mail
*
example@example.com
Cell Phone Number
*
Cell Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
I have NEVER attended any Fitness Convention in the past.
*
Yes
No
I CANNOT afford to attend any Fitness Conference without financial assistance.
*
Yes
No
Why do you feel you are worthy of receiving the Michael Scott Scudder Scholarship? Please answer in no less than 300 words.
*
Please be honest about your financial situation. Why do you qualify for this award? Note that we give preference to those who have NEVER attended professional fitness continuing education conferences. Please answer no less than 200 words.
*
Please upload a photo of yourself below:
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I agree to allow SCW Fitness Education to use my submission (including photos, videos, writings, testimonials, etc) in promotional materials
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.
I have read and agree to the terms and conditions listed in the link above.
*
Yes, I agree to the terms and conditions
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