NCMS Scholarship Award Application

Applicant Name:

Date:

Phone #:

Email:

Organization Name:

Position at Organization:

Mailing Address:

Highest Education Level Attained to Date:

NCMS Member:  Yes   No

NCMS Chapter:

ISP Certified:  Yes   No

Military Service:  Yes   No

Military Branch:

College/University of Enrollment:

College/University Address:

Degree to be Attained:

Academic Major/Minor:

Projected Date of Graduation:

NCMS Scholarship Funds to be Sent to:

(Note: Funds for tuition will be sent directly to the institution. Please provide detailed contact information for your school's registrar office. Funds for books will be sent to you directly upon submission of original receipts.)

Scholarship applicants must provide contact information for an employment reference (your current supervisor, or if self-employed, an individual who has knowledge of your employment) and an academic reference (faculty advisor, student counselor, or a staff instructor at the college/university where you are enrolled).
Employment Reference Name:

Title:

Address:

Phone #:

Email:

Academic Reference Name:

Title:

Address:

Phone #:

Email:

ATTACHED DOCUMENTATION

• Please upload an essay (maximum 1000 words) addressing the following:
  • Why would you like to be considered for this scholarship?
  • What are your plans upon attaining your degree?
  • Describe your work (if any) in the security field.
  • Describe your work (if any) in the military.
  • Describe any security related training and certification programs you have completed.
  
  
• Please upload any college/university diplomas
• Please upload your current academic transcript (must have registrar office stamp)
• Please upload any academic honor society certificates
• Please upload any security association membership certificates
• Please upload documentation verifying militay service

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Signature:

Attach all documentation here: (note: to select multiple files, place in an individual folder first on your desk top and then hold down "Ctrl" button and click to select all relevant files)