CFDD National Scholarship Award Application For CFDD Members without Company Support Application Must Be Typed or Computer Generated Candidates must complete all categories for consideration of a scholarship and must be returned on or before March 15th. Hit the tab key to move from one space to the next. Additional CFDD Scholarship Guidelines can be found on the last page of this application. Please send your files as email attachments to cfdd@nacm.org. The name of the file containing the nomination form should be as follows: LastNameFI_Memberw/o support. Example: SmithJ_Memberw/osupport. The name of the file containing any attachments should be as follows: LastNameFI_Memberw/osupportlAttach. Example: SmithJ_Memberw/osupportAttach. You may apply for more than one scholarship preference. However, only one scholarship may be awarded to a member in any given year. Name (Include Designation) Company Name Address City State E-mail Telephone Fax Zip CFDD Chapter or Direct Member # Preference Category I CFDD National Conference Registration 2016 – To be announced $375.00 Registration Fee + $100.00 for expenses Recipients are required to attend the CFDD Business Meeting held at the CFDD National Conference for which the scholarship is awarded. # Preference Category II NACM® Credit Congress Registration 2017 – Dallas Registration Fee + CFDD Luncheon Fee Recipients are required to attend the CFDD Awards and Installation Luncheon held at the Credit Congress for which the scholarship is awarded. Yes No In the event you are not awarded one of these would you like to be considered for one of the regular scholarships for these events? There will be up to three winners with the highest scores for a Credit Congress scholarship to be awarded and there will be up to four scholarship winners with the highest scores for a CFDD National Conference scholarship. Winners of scholarships must attend a minimum of 80% of available conference educational sessions. Attendance will be verified using the system in place to record and document Continuing Education Units with NACM-National Education Department. Failure to attend the minimum of 80% may eliminate any future eligibility for CFDD National Scholarship Awards. CFDD National Scholarship Award Application For CFDD Members without Company Support Application Must Be Typed or Computer Generated Business Experience: Years in Credit Years in Position Title Number of Employees Supervised Duties of Your Position Does your employer provide financial support for education such as payment for tuition or registration fees? Education: College: College: Other Courses: College Attended College Attended Course Sponsor NACM® DESIGNATIONS HELD: CBAsm CFDD Involvement Local and National – List Activities and Dates CBFsm Years Completed Degree Granted Years Completed Name of Course Degree Granted CCRAsm CFDD Chapter or Direct Member (Affiliate and National, i.e., FCIB, GBG, APG, etc. CCE® CICP ICCE Number of Years/Months as Member Type of Involvement NACM® Involvement Year Local/National Year(s) Are you your firm’s designated representative to the Local NACM® Affiliate? Yes No Type of Involvement Local/National Year(s) Type of Involvement Local/National Year(s) Type of Involvement Local/National Year(s) Please answer 3 of the 7 questions below, using as much detail as possible. 1. Have you ever attended or completed the event/selection for which you are requesting a scholarship? Yes No If yes, what was the event and when did you attend? 2. Years How long have you been a member of CFDD? What leadership positions in your CFDD chapter have you held? yes/no If yes please explain What percentage of the meetings have you attended in Months the last year? Do you have future plans for participation as a leader within CFDD? 3. If someone asked you to tell them about CFDD, what would you tell them? 4. Have you been awarded an NACM®-National, CFDD or NACM® local affiliated association scholarship? Yes No Yes No Yes No If yes, what was the scholarship for and when was it awarded? 5. Have you attended credit seminars put on by other organizations? If yes, who were the sponsors and what were the topics covered? 6. Are you a member of or have you participated in other Credit Groups (National, Regional, or Local)? If yes, what groups and what was your level of involvement? Applicant’s Name Reason and/or Need for Applying for this Scholarship: • Please share your reason or need for the scholarship you are requesting. Also include how an awarded scholarship will help you achieve your academic or career goals. How this CFDD scholarship and your benefit from it will be shared with other CFDD members. Applications without a reason and/or need will not be considered. Use additional pages if needed. Preference 1 Preference 2 Preference 3 If awarded a scholarship you will be required to submit and article for the CFDD National Newsletter on your experience and personal achievement by participating in this event on a scholarship from CFDD. Applicant’s Name CFDD Scholarship Guidelines A. CFDD will award scholarships annually. Scholarship awards may be funded with proceeds (interest, dividends, and asset appreciation) from the Scholarship Fund and/or by contributions made and received by March 31st. One scholarship per candidate may be awarded per year. B. In order to be eligible to receive a CFDD National scholarship fund award, the applicant must be a CFDD member in good standing for at least six months at the time of submission and at the time of disbursement. C. All scholarship applications must be received by CFDD National by March 15 of each year to be considered. If March 15 is a Saturday, Sunday or legal holiday, the applications must be received on the first business day following the 15th. D. An application must receive an average score of 65 in order to qualify for a CFDD National Scholarship. E. Any recipient of a CFDD National Conference or NACM Credit Congress registration award must attend at a minimum of 80% of conference educational sessions. Attendance will be verified using the system in place to record and document Continuing Education Units with the NACM-National Education Department. Failure to attend the required 80% of the event, may disqualify the member from future scholarship awards. F. Self Study Scholarship Award recipients must complete the awarded course within 12 months of the date of receipt of course material. Non-completion within 12 months may disqualify the member from future eligibility for National Scholarship awards. G. A scholarship recipient must redeem their scholarship within 12 months of the award. Your signature, represented by typing your name, attests to the validity of the information within this application to the best of your knowledge and that you understand and agree to the guidelines above. Applicant’s Full Name (representing signature) Date NACM – CFDD 8840 Columbia 100 Parkway Columbia, MD 21045 P: 410-740-5560 F: 410-740-5574 E: cfdd@nacm.org September 2014