District IV Scholarship Application CASE Minority Advancement Institute Use the form below to submit your application for the CASE District IV Minority Advancement Institute Scholarship. The 2018 Minority Advancement Institute is scheduled for November 12-14, 2017 in Washington, D.C. The deadline to submit is September 8, 2017. Applicant InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Job Title*Area of Advancement*School / Institution*Email Address* If applicable, please use the email associated with your CASE national account.Cell Phone*Institution Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Submission MaterialsPlease complete the following section to complete your application. A letter of recommendation is prefered, but not required.Please outline your career goals. (1,000 max characters)*Resume*Accepted file types: pdf, doc, docx.Please upload your resume, including academic information and employment history. (20MB upload limit)Letter of RecommendationAccepted file types: pdf, doc, docx.Upload a letter of recommendation from a veteran member with at least 3 years experience of CASE IV (may be from immediate supervisor).ConfirmationPlease complete the following section to complete your application.Agreement to Attend* If awarded the CASE District IV scholarship, I agree to commit to attend the Minority Advancement Institute. I understand that I (or my institution) will be responsible for funding any travel expenses beyond the scholarship amount or not covered by the scholarship. Supervisor Approval* If selected for the scholarship, I confirm that my immediate supervisor has approved my attendance of the Minority Advancement Institute. Supervisor's Name*Supervisor's Email* EmailThis field is for validation purposes and should be left unchanged.