First Name *

Last Name *

Title *

Organization *

Address Line 1

Address Line 2

City

State

Postal Code

Phone *

Email *

Training Program *

What training/event will you attend using your scholarship? (If online, you may paste the website. If not, scan and email to meda@medaweb.org.

Size of Organization's Economic Development Budget *

Enter required value Under $75,000 - 6pts $75,001-$100,000 - 5pts $100,001-$150,000 - 4pts $150,001-$200,000 - 3pts $200,001-$300,000 - 2pts $300,001-$500,000 - 1pt

MEDA Boards, Committees, Taskforces You Have Served

Include Board/Committee/Taskforce and number of years served. Participation must be on MEDA committees/taskforces. Other economic development-relation organizations will not count.

Scoring Criteria:
1 Year - 1 point
2 Years - 2 points
3 or More Years - 3 points

Maximum of 4 points

New Members - Select a Committee

For new members of MEDA (1 year or less), please indicate which committee or taskforce that you will serve for at least a year after receiving the scholarship. Click here for a list of MEDA's current committees and taskforces (page will open in new tab).

Length of Membership *

How long have you been a MEDA member?

Benefit of Scholarship to Applicant *

How will attending this training help you professionally?