Professional Scholarship
Professional Member Scholarship Application

Please fill out to the best of your ability.
 
Name:
AITP Number:
Address Street 1:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Event to be sponsored
Date of Event::
Purpose of Participatin in Sponsored Event:
Please list AITP or Community activities you participated in, inclued year and positions held:
By accepting Scholarship funds, I agree to do a short presentation (5 mins max) to the gerneral membership during a monthly meeting of AITP.::
I certify that the above information is correct to the best of my knowledge.:
Signature (type first and last name)
Today's Date:
Questions and other comments:
This will be sent to Mary Reager, chair of our Scholarship Committee

 
If you would like to print out this form and mail us your application please use our pdf format:

And send it to
AITP Cornhusker Chapter
P.O. Box 89724
Lincoln, NE 68501
Copyright . AITP. All rights reserved.
Web Hosting Companies