Scholarship Application for members without company support

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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
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