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2012 National Conference:
Scholarship/Grant Application Form
NCMPR is now accepting nominations for scholarships and grants for the 2012 national conference, scheduled March 11-14 in San Francisco, Calif.
The deadline for submitting applications is Jan. 13, 2012.
Questions?
Contact:
Becky Olson, NCMPR Executive Director
(970) 330-0771
bolson@ncmpr.org
Nominee Information
Name of Nominee
First
*
Initial
Last
*
This is a required field.
Please only use alphabetical characters.
This is a required field.
Title
*
Institution/Organization
*
Address
Address
*
Address 2
City
*
Choose One...
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Bahamas
Bermuda
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
England
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland And Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
Scotland
South Carolina
South Dakota
Tennessee
Texas
Tortola (virgin Islands)
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
State/Province
*
Zip/Postal Code
*
Country
*
Please enter your country.
Please enter a valid zipcode.
Please select a State.
Please enter your city.
Please enter your address.
Address 2 must be fewer than 250 characters
Phone
(###)
*
867
*
5309
*
This is a required field.
This is a required field.
This is a required field.
Email
*
How many years has the nominee been a member of NCMPR?
*
What date was the nominee employed in his/her current position?
*
How many years has the nominee served in communications at his/her current institution?
*
Name of College CEO
First
*
Initial
Last
*
This is a required field.
Please only use alphabetical characters.
This is a required field.
Name of Submitter
First
*
Initial
Last
*
This is a required field.
Please only use alphabetical characters.
This is a required field.
Title of Submitter
*
Scholarship Candidates
The following four statements are to be completed by the nominator. (Limit 300 words for each answer.)
1. Describe the nominee's current work responsiblities.
2. Describe the nominee's quality of work and overall performance.
3. Describe the future plans and goals for the nominee's professional development.
4. Describe why the nominee is a deserving candidate for a scholarship.
The next two questions are to be completed by the nominee. (Limit 300 words for each answer.)
1. Which professional areas do you feel you most need to develop?
2. Why do you believe this conference will be beneficial to your professional growth?
Grant Candidates
The following five items are to be completed by the nominee. (Limit 300 words for each answer.)
1. Which professional areas do you feel you most need to develop?
2. Why do you feel this conference will be beneficial to your professional growth?
3. Describe your college's budget restrictions and how they will make it difficult for you to attend this conference.
4. List NCMPR national and district conferences or one-day workshops you have attended in the past three years. (If you, personally, have not attended, list the conferences or workshops attended by others in your college.)
5. Provide the name, title and phone number of an individual in your college's business office who can be contacted to confirm your college's restricted travel and budget policies.
* Required
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