WICT RM Mentee Scholarship Application - The WICT Network: Rocky Mountain

Fall 2022 Mentee Scholarship Application

Answer the questions below if you are applying for a mentee scholarship. There are only a few scholarships available to cover the cost of the program.

Name*
First Last
Job Title*
Company*
Work Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone*
Preferred Email*
Why are you applying for the scholarship?*
What do you hope to gain from this experience?*
Have you received a scholarship for this program in the past?*
- Yes
- No