Professional Development Application

Wisconsin Airport Management Association

Professional Development Assistance

Guidelines and Application

Up to $2,000 in assistance will be awarded at the sole discretion of the Wisconsin Airport Management Association Board of Directors.

Instructions:

If you have any questions please contact David Jensen at jensen.david@msnairport.com. Applications must be received by March 16, 2018 at 5 pm.

You must be a member of the Wisconsin Airport Management Association and a resident of Wisconsin or an active duty service member with an entrance point in Wisconsin at the time the award is made.

Candidates can receive reimbursement 12 months past an award date or 12 months prior to the next award date. Reimbursements will be awarded to members upon confirmation of successful completion of conference or training attendance.

The information presented on this application will determine your eligibility for this assistance and will also be used as a basis for your ranking. For this reason, it is extremely important that you answer all questions completely and attach your autobiography and your statement of interest in the event. You may attach a resume or any additional information you believe is pertinent.

David Jensen

Dane County Airport

608-246-3387

Contact Information

Last Name *

First Name *

Permanent Street Address *

Apt:

City *

State *

Zip Code *

Phone Number *

Fax Number

E-Mail Address *

Please email me updates

Employer *

Title *

Years of Service *

Name of Event You Plan On Applying This Assistance To *

Select Type of Assistance You Are Applying For *

Membership Dues

Conference

Scholastic Scholarship

Other

Amount of Assistance Requested *

Education

	Name of Institution (High School and College)	Dates of Attendance	Degree Obtained/Expected to Receive
1)	Name of Institution (High School and College)	Dates of Attendance	Degree Obtained/Expected to Receive
2)	Name of Institution (High School and College)	Dates of Attendance	Degree Obtained/Expected to Receive
3)	Name of Institution (High School and College)	Dates of Attendance	Degree Obtained/Expected to Receive

1. Does your employer provide you with financial support for continued education opportunities (conferences, training courses, and/or higher education courses) offered by:

A) WAMA? *

Yes

No

If YES what is the budgeted amount?

B) Other? *

Yes

No

If YES what is the budgeted amount?

2. Does your employer pay for your travel expenses associated with attending conferences within:

A) Your own State? *

Yes

No

B) Out of State? *

Yes

No

C) Conference Registration Fee? *

Yes

No

3. If you are awarded assistance, what expenses will your employer pay for if the cost to attend is greater than the assistance available?

*

4. Have you ever participated in the event for which you are applying for assistance?

*

Yes

No

N/A

A.) If yes, what was your role the last time you attended this event?

B.) If yes, when was the last time you attended this event?

C.) If yes, how was your travel to the event financed?

Please attach the following

1. An autobiography not to exceed one page.

2. A statement of your interest in the event and benefits you expect to receive and contribute to your organization. Please limit to one page.

3. A most recent copy of your academic transcript, if scholastic assistance is requested.

4. All receipts and pertinent documents must be submitted with this application if you are requesting reimbursement for an airport conference or workshop occurring within the preceding 12 months of this application date.

If selected, you may be asked to write a one page report on the event as it relates to your interests on this application. Is this acceptable as a condition of receiving assistance?

*

Yes

No