Scholarship Application

PURPOSE:

The purpose of the scholarship is to provide tuition assistance to a member, or to a member of his or her immediate family (spouse or dependent child), who is a member of the Capital District Chapter of the New York State Building Officials Conference, Inc.

AWARD BENEFITS:

Recipients will be awarded an amount to be determined after a review by the Capital District Chapter Scholarship Committee. The amount awarded may not exceed one thousand dollars ($1,000.00) per year, per applicant. At no time shall the amount awarded exceed the expenses incurred by the applicant.

ELIGIBILITY REQUIREMENT:

Applicant must meet the following eligibility requirements

Be scholastically responsible with a grade point average of "C" or better at the time of the application;
Submit a completed application, along with:
1. an official transcript (if applicable) of course(s) taken to date
2. a personal letter of reference;
3. an essay 200 words or more in length describing what your long-term goals are and how you hope to achieve them;
4. Provide proof of membership (sponsor's membership) in the Capital District Chapter of the New York State Building Officials Conference, Ins. of at least two years. This membership must be in current good standing: and
5. Submit a description of curriculum, courses to be taken.

ADMINISTRATION:

Requests must be made by July 15th - to be considered for the Fall semester. Recipients will be notified as soon as possible as to the status of his or her application.

Where funds are granted for a non-matriculated course of study to be taken, disbursements of the funds will not be made until an official copy of the learning institutions' transcript is received verifying a grade point of "C" or better, and an invoice reflecting all costs incurred is submitted to the Scholarship Committee.

Recipients may have their name and photo released to the press by the Education Committee of the Capital District Chapter of the New York State Building Officials Conference, Inc.

Student's Name*

First NameLast Name

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Institution Attending*

Institution Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NYSBOC Member's Name*

First NameLast Name

Years Member

Relationship to Applicant*

Employer*

Member's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Member's Phone*

Area CodePhone Number

I am submitting the following required documentation:

an official transcript (if applicable) of course(s) taken to datea personal letter of reference;an essay 200 words or more in length describing what your long-term goals are and how you hope to achieve them;Submit a description of curriculum, courses to be taken.Invoice(s) from course taken, if member

Upload the required documentation as per above

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i affirm that I have read and understand the eligibility requirements for this scholarship, and i agree to bind myself by them. I also understand that the awards are granted based on statements made as part of the application and state that they are true to the best of my knowledge and belief. i further affirm that i have not and will not receive any other funding for the course for which I have submitted this application (only applicable to non-matriculated part- time students),

Signature*

APPLICATION FOR SCHOLARSHIP AWARD