Student Professional Development Grant Application Form

Applicant Contact Information:
Name:

First NameLast Name
Student ID:
Program of Study:
MyMacEwan E-mail:
example@mymacewan.ca
Phone Number:
Format: (000) 000-0000.
Application Requirements:
Amount Requested:
Provide a brief description of the conference being attended, and how it will enhance your educational experience or that of the wider student body.
Please provide proof of costs (e.g. receipts, invoices, screenshots of the Conference website, transportation costs, and room rates as provided by hotels are acceptable). Attach these documents to this form upon submission.

Must be pdf
Cancelof
Endorsements

(Please provide names and contact information of two references that are supporting this grant application. References cannot be currently elected SAMU representatives).
Reference #1 Name:

First NameLast Name
Position:
Phone Number:
Format: (000) 000-0000.
Email:
example@example.com
Reference #2 Name:

First NameLast Name
Position:
Phone Number:
Format: (000) 000-0000.
Email:
example@example.com
Applicant's Signature:
Date Signed:

MonthDayYear
Date
Please note: if approved for a grant, you will be required to provide a 250 word (1 page) review of the professional development event.
Note: All students travelling outside of Edmonton for professional development opportunities requires permission from MacEwan University – more information can be found here.
Should be Empty:

Endorsements