Member Scholarship Application Member Scholarship Please submit only ONE application for all scholarships. Step 1 of 2 - Your Information 0% Please do not submit a scholarship application if you received and/or used scholarship funds last season. A member who receives scholarship funds in one year will not be considered for a scholarship in the subsequent year, unless there are demonstrated needs and available funds after all other requests from previous non-recipients have been granted. ~Thanks!Your InformationName* First Last Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Daytime Phone*Please make sure you enter your e-mail address correctly. You should receive an e-mail confirmation immediately after, to confirm your application was submitted! ~Thanks!E-mail* Enter Email Confirm Email Member #* How long have you been skiing or riding?* Season you joined PSIA-AASI? (Ex. 1998-1999)* Why did you join PSIA-AASI?*Please list all certifications and accreditations you have achieved* Type of Scholarship*Member Scholarship (Any member, any discipline)Russell Fleming Memorial Scholarship (Supports racial diversity in snowsports education, please ensure your gender and ethnicity are listed on your member profile)James Kapp Memorial Scholarship (For Telemark events)Terry Fund Scholarship (For Children's events)James Leader Memorial Scholarship (Any members, with first priority given to employees of Killington)CE Burbridge Memorial Scholarship (For Adaptive events)Employees of PSIA-AASI Eastern RegionNextCore ScholarshipWomen's ScholarshipEvent InformationTell us about the kind of event you are looking to attend with support of scholarship funds.Event DisciplineAdaptiveAlpineChildren'sCross CountryFreestyleSeniorSnowboardTelemarkEvent TypeSpecialist AssessmentCertification AssessmentEducational ClinicPrep ClinicWebinar/OnlineOther - indicate in Choice below Snowsports School Affiliation #1School/Resort Affiliation* Avg. days worked per week Supervisor's Name Snowsports School Affiliation #2 (SKIP if not applicable)School/Resort Affiliation Avg. days worked per week Supervisor's Name More Information About YouCurrent Role*Children's InstructorAdult InstructorSeasonal Program InstructorStaff TrainerSupervisorAssistant/DirectorRace CoachFreestyle InstructorPrivate Lesson InstructorChild CareOther - include in "What has been your role in the Snowsports school in the past and what is it today?"Please describe your role in your snowsports school in the past and what it is for the coming season.*How would your role be enhanced or changed by your participation in this event?*What are some of your personal and professional goals in relation to snowsports and snowsports teaching?*How will this scholarship help you achieve your (short and/or long-term) goals?*What do you anticipate to contribute to your snowsports school or the Industry as a result of your participation in the event? (Please be as specific as possible.)*Do you have any particular financial need we should be aware of?*Is your participation in this event contingent on receiving this scholarship?* Yes No Please feel free to add any other information that you feel is pertinent in helping the committee consider your application for this scholarship.Reminder: you should receive an e-mail confirmation shortly after you submit your application. Please make sure you get this e-mail to confirm your scholarship has been submitted! ~Thank you!Scholarship winners are asked to share their learning experience with our members by making a Social Media post from your event or writing an article about your experience for the SnowPro Newsletter. ~Thank you!