Application - Idaho Centennial Chapter AGA

AGA Reduced Fee Scholarship Award Application Form
Purpose
The purpose of the AGA Idaho Centennial Chapter Reduced Fee Scholarship Award is to assist interested
accountability professionals who wish to join AGA by providing a discount of 50% on membership dues.
Preference will be given to first time eligible applicants.
Selection Criteria
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Demonstrate or express an interest in advancing in the field of financial accountability.
See membership as beneficial to your career and an investment in your future.
Employer does not pay for membership.
Paying for membership may be a hardship.
Agree to volunteer for a committee, speak at a chapter event, recruit a new member or
offer some other specified assistance to the chapter.
Submission of the Application Form
The application form is a fillable pdf file. Complete all sections, then “save a copy”. The application
requires a signature. You may provide an electronic signature or print out a copy, sign it and scan it in
pdf format.
Please send the completed application in pdf format to [email protected]. Please
add your last name as part of the file name when saving the file, for example, Smith FY15 AGA
Scholarship Application.
Alternately, you may mail the completed application to:
AGA Idaho Centennial Chapter Scholarship Award Program
P.O. Box 623
Boise, ID 83701
Scholarships are limited to 10 per year based on date of receipt and eligibility.
Questions regarding the application process may be directed to [email protected]
AGA IDAHO CENTENNIAL CHAPTER
REDUCED FEE SCHOLARSHIP AWARD APPLICATION FORM
Award Year 2014-2015
Applicant Name: ___________________________
Title: __________________________________
Phone: __________________________________
Email: _________________________________
Type of Employer: (Government, Non-Profit or Private)
____________________________________________________________________________________
Name of Employer: ____________________________________________________________________
Address: _____________________________________________________________________________
Does your employer pay for membership dues? _______________
Please describe why you wish to join AGA Idaho Centennial Chapter and how you meet the
qualifications to receive this award. Please limit your statement to less than 500 words.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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If you receive this scholarship, what specified assistance would you provide to the chapter?
_____________________________________________________________________________________
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Applicant’s Signature _________________________________________ Date: ____________________