CFDD National Scholarship Award Application For New CFDD Members of 3 years or less 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_NewMemberSchol. Example: SmithJ_NewMemberSchol. The name of the file containing any attachments should be as follows: LastNameFI_NewMemberScholAttach. Example: SmithJ_NewMemberScholAttach. You may apply for more than one scholarship preference. However, only one scholarship may be awarded to a member in any given year. Please rank category preference by marking 1st, 2nd, 3rd, etc. choice. 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 $250.00 Partial 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. Preference 1. 2. 3. 4. 5. Category III Designation Application Fees CBAsm CBFsm CCE® CCE® Recertification ICCE Recertification (You may make one selection) Preference 1. 2. 3. 4. 5. Category IV School Registration Fees NACM Certificate Session CAP/ACAP (Upon Completion with a Passing Grade) International Credit and Risk Management Online Course Fee NACM Online Courses (Accounting, Business Law, or Credit Law) Course Registration Fee: NACM Credit Learning Center (You may make one selection) Preference 1. 2. 3. 4. 5. 6. 7. Category V Self-Study Courses from the NACM Bookstore Fair, Square and Legal How to Manage Conflict in the Organization Keeping Customers For Life Leadership Skills For Managers Performance Management Planning and Leading Productive Meetings What Managers Do (You may make one selection) # Preference Category VI NACM Credit Learning Center Designation Exam Review Package $100.00 # Preference Category VII CFDD Membership Up to $100.00 # # # 50% of Current Fee 50% of Current Fee 50% of Current Fee 50% of Current Fee 50% of Current Fee Session Fee not to exceed $250.00 Session Fee not to exceed $250.00 Session Fee not to exceed $250.00 50% of Current Fee (not to exceed $250) 50% of Current Fee (not to exceed $250) Up to $200.00 Up to $200.00 Up to $200.00 Up to $200.00 Up to $200.00 Up to $200.00 Up to $200.00 CFDD National Scholarship Award Application For New CFDD Members of 3 years or less 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. How long have you been a member of CFDD? Years Months What percentage of the meetings have you attended? What leadership position in your CFDD chapter do you aspire to and why? 3. If someone asked you to tell them about CFDD, what would you say? 4. What are you planning on doing with CFDD or contributing to the organization in the future? 5. 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? 6. Have you attended credit seminars put on by other organizations? If yes, who were the sponsors and what were the topics covered? 7. 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. Applications without a reason and/or need will not be considered. Use additional pages if needed. Preference 1 Preference 2 Preference 3 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. 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 three (3) 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. 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 member is not eligible to receive a CFDD National Scholarship in the same category for two consecutive years. In an effort to maximize the financial support CFDD can provide its members in our current economic climate, the standing rule prohibiting members from receiving a scholarship in the same category two years in a row has been suspended. H. 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 Revised: November 2014