P.E.O. Program for Continuing Education
Potential Candidate Seeking Chapter Sponsorship 8/2018
P.E.O. Program for Continuing Education
Information Form – Potential PCE Grant Candidate Seeking Chapter
Sponsorship
Complete this form in its entirety and return it as an attachment to the following email address:
pce@peodsm.org.
Incomplete forms and/or non-specific information will not be considered for forwarding as outlined in the
paragraph below.
All eligibility requirements must be confirmed before this form can be forwarded to the PCE chairman in the
state/province/district in which you reside. The chairman will attempt to locate a P.E.O. chapter in your area
willing to contact you for possible sponsorship; however, forwarding your information does not guarantee
sponsorship for a grant. If you are contacted by a P.E.O. chapter, eligibility must be reconfirmed. A pro vote
by the chapter members is necessary before the application process can begin.
As a reminder:
• Chapter membership information will not be provided to interested candidates.
• Applicants must be living in the U.S or Canada for the entire course of study.
• Grants are NOT awarded to those in need of further education beyond the program for which the grant
will be used before seeking employment.
• If a P.E.O. member has not initiated contact within four weeks, it is unlikely a sponsoring chapter was
located.
Name: ________________________________________________________ Phone: (____) ____ - _____
Address: _____________________________________ City: _____________________________________
State/Province: ________________________________ Zip/Postal Code: ___________________________
Email: __________________________________________________________________________________
1. I confi
rm that I am a citizen/legal permanent resident of the United States Canada
2. I confirm I am/will be studying and living in the United States Canada
3. I confirm I am not enrolled in a doctoral degree program. Yes
4. I am enrolled or accepted at: ______________________________________________________________
City: ___________________________________ St/Prov: ___________________________________
Country: United States Canada
5. Start date of the term or semester I would use this grant: ___ / ___ / _____ (mm/dd/yyyy)
6. I w
as a non student from ___ / _____ (mm/yyyy) to ___ / _____ (mm/yyyy)
7. I will complete the educational program that will give me the marketable skill I am seeking
on _________ _____ (month/year)
8. My educational goal is (degree and field of study):
9. I confirm I have no plans for immediate continuation of my education beyond the current program for which
the grant is requested. Yes
