Name: Restorative Practices Certificate Program
Start: 2020-08-20T09:00:00-04:00
End: 2020-08-20T16:00:00-04:00
Location: Hutchinson Center

APPLY FOR A PROFESSIONAL DEVELOPMENT SCHOLARSHIP TODAY!

Are you a midcoast Mainer (based in Knox or Waldo county) who wants to attend a Hutchinson Center professional development program but don’t have the funds? Do you plan to use what you learn through our programs to benefit your community? Apply for a need-based scholarship today!

Our scholarships make our diverse professional development programs accessible and affordable for everyone.

Scholarship application reviews begin thirty days before the start of a program. Priority will be given to scholarship applications received before this timeline. Only complete applications will be considered.

Please note: registration is not complete until you receive confirmation from us.

Let us know if you have any questions. We’re here to help! We can be reached at 207.338.8002 or um.fhc.pd@maine.edu. You can download a paper version of the application here.

Professional Development Scholarship Form

Your name*
First Last
Your phone number
Your address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your email*
Your employer
Your current position
How long have you worked for your current employer?
Your supervisor's name
First Last
Your supervisor's phone number
Your supervisor's email address
Does your employer provide funds for professional development?
How much professional development funds does your employer provide?
Are you able to self-pay? If so, how much can you contribute?
Have you received a Hutchinson Center Scholarship in the past?*
- No
- Yes
If you have received a Hutchinson Center scholarship, what year did you receive it?
Date Format: MM slash DD slash YYYY
Name(s), date(s) and cost(s) of the Professional Development program(s) you are requesting assistance for:*
Please enter information about the Professional Development program(s) you are registered for.
How many dependents are in your household?*
Please enter the total number of dependents in your household (including yourself).
Household gross income*
Please enter last year's joint total household gross income (the amount of money on paychecks, before taxes).
Your total gross income (if different from household)*
Please enter your last year's total gross income (the amount of money on your paycheck, before taxes). If the household income is the same as your total income, please re-enter the same number here.
Have there been any significant changes in your income since you filed your last income tax return?*
- Yes
- No
If you have experienced any significant changes in income since your last tax return, please elaborate here.
Are you currently working?*
If you're not currently working, please enter the last date you were employed.
Date Format: MM slash DD slash YYYY
Personal Statement*
Please provide a written statement (500 words or less) explaining your financial need, how this opportunity will benefit you professionally, and how you will use what you learn to give back to your community.
How did you hear about this program?
- Email
- Flyer
- Newspaper
- I'm a past participant
- Radio
- Social media
- Word of mouth
- Other
Please check all that apply.
CAPTCHA
Thank you for applying for a Hutchinson Center Professional Development scholarship! We reserve the right to ask for a copy of your last year's federal tax return. Our scholarship committee reviews applications starting thirty days before programs begin.