Member Education Scholarship Form

Member Ed Scholarship Nomination Form

Directions

Fill out the following criteria as clearly and concisely as possibly. If additional space is needed, please attach a separate sheet to this form. Thank you for your time and involvement.

Scholarship *

Richard P. Mills

Jim Day

NYSIR

State Director or Chapter President’s Name *

Chapter *

Nominee’s Name *

Nominee’s Title *

Nominee’s School District *

Street Address *

Country *

State *

City *

Postal Code *

Email *

Phone *

Accreditation Nominee is working toward (if any)

How many years has the nominee been in the school facilities profession? *

How has the nominee demonstrated extraordinary dedication to the school facilities profession? *

How has the nominee demonstrated promise for future leadership? *

Please describe any financial difficulties that may inhibit this nominee from attending the conference or Academy. (Please note, this is not a requirement for the nomination, but may be considered by the Selection Committee.)

Thank you for taking the time to nominate one of your fellow colleagues.
If you have questions regarding the nomination process, please contact SFMI by email or call at 518-465-0563.

Member Education Scholarship Form

Member Ed Scholarship Nomination Form

Directions

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