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 1. 2. 3. 4. 5. 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. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ If you receive this scholarship, what specified assistance would you provide to the chapter? _____________________________________________________________________________________ _____________________________________________________________________________________ Applicant’s Signature _________________________________________ Date: ____________________
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