Scholarship Application

Application for the Scholarship Reimbursement Program

Fields marked with * are required

Registration

I have registered online at MSU.EDU Note: The Citizen Planner course must be completed prior to the Zoning Administrator course.

I have the copy of my registration

I have the certificate of completion from my course

I have the copy of the cancelled check or recepit of payment

Entity Information

Entity has been a member of the Michigan Township Participating Plan for at least one year.

Please Confirm the Following

I understand that two people may attend the Citizen Planner course, OR one person may attend the Zoning Administrator course, within a one-year (calendar year) time frame, from each insured entity

I understand that reimbursement is paid to the entity not the individual taking the course, after completion of the course

If the insured entity signs up for these courses and subsequently leaves the program, reimbursement is forfeited.

Registrant Information

I am A(N) ___________________

I understand that I will receive a confirmation email within 72 hours of receipt. If I do not receive confirmation within 96 hours I will email theparplan@tmhcc.com or call 248-371-3100 to ensure my application and supporting materials were received.