Scholarship Contact
Beth Elliott
Master Brewers Association of the Americas
3340 Pilot Knob Road
St. Paul, MN 55121

Telephone: +1.651.454.7250
Fax: +1.651.454.0766
Email: belliott@scisoc.org

William A. Hipp Scholarship Application

What course are you applying for?	Brewing Packaging Technology Brewing and Malting Science
Name:
E-Mail Address:
Business Address:
City:
State/Province:
Postal Code/Zip Code:
Country:
Business Phone:
Position:
Birth Date:
MBAA Member?	Yes No
Years as Member:
District:
Ever received MBAA Scholarship?	Yes No
Would your employer sponsor your attendance to the course?	Yes No
What do you hope to gain from this course? How do you plan to use information from this course in your workplace?
Endorsement by two Active Members of MBAA is required for application. "We hereby confirm that in our considered opinion, this Applicant is an appropriate and proper person to be a recipient of an MBAA Academic Scholarship, according to the current Provisions which we have read, should the Scholarship Committee make an award to the Applicant."
Sponsor #1 Name:
Sponsor's District:
Years in District:
Sponsor #2 Name:
Sponsor's District:
Years in District:
I hereby certify that by submitting this application that: All my answers are true and correct to the best of my knowledge. I am a member of MBAA. I have read the Provisions for the MBAA Course Scholarship. I will abide by said Provisions if I am awarded the Scholarship. I understand that this application must be submitted no later than the deadline date below: Brewery Packaging Technology Course: January 15 Brewing and Malting Science Course: August 1
Please print out this page and fax it to Beth Elliott at +1.651.454.0766.