NACM
CREDIT AND FINANCIAL DEVELOPMENT DIVISION

APPLICATION FOR CFDD SCHOLARSHIP AWARD


APPLICATION MUST BE TYPED OR COMPUTER GENERATED
(A MEMBER IS NOT ELIGIBLE TO RECEIVE A SCHOLARSHIP AWARD
IN THE SAME CATEGORY FOR TWO CONSECUTIVE YEARS.)

SCHOLARSHIPS ARE VALID FOR 12 MONTHS FOLLOWING AWARD DATE.
PLEASE NOTE CATEGORY PREFERENCE BY MARKING 1ST, 2ND, 3RD, 4TH, 5TH, 6TH OR 7TH CHOICE.
Name:
(Include Designation)
Company Name:
Address:
City:
 State/Province:
Zip/Postal Code:
    
E-mail:
Phone:
Fax:
    

BUSINESS EXPERIENCE
(10 MAXIMUM POINTS)
Years in Credit: Years In Position:
Title:
Number of Employees Supervised:
Duties of Your Position?
A maximum of 6 lines will print in this field.
EDUCATION
(ATTACH ADDTIONAL PAGES IF NEEDED)
(10 MAXIMUM POINTS):
COLLEGE EDUCATION
  
 
1. College attended:
 
Number of years completed:

 
Degree granted:
  2. College attended:
  Number of years completed:
 
Degree granted:
OTHER COURSES
Name of courses:
SCHOOL:
SUBJECT:
YEAR:
  SCHOOL:
 SUBJECT:
 YEAR:
Are you able to Interpret a Financial Statement?
 
NACM® DESIGNATIONS HELD:
CBA     CBF      CCE®   CEW     CICP CICE
CFDD/NACM® INVOLVEMENT:
(ATTACH ADDTIONAL PAGES IF NEEDED)
(40 MAXIMUM POINTS):
CFDD Chapter or Direct Member:

Number of Years As Member:

CFDD INVOLVEMENT: (Local and National – List Activities & Dates)

A maximum of 6 lines will print in this field.

NACM® INVOLVEMENT
(Affiliate and National, i.e. CRF, FCIB, GBG, APG, etc.)
Are you your firm’s designated representative to the Local NACM® Affiliate?

A maximum of 6 lines will print in this field.
DETAILED REASON AND/OR NEED FOR APPLYING FOR THIS SCHOLARSHIP: (40 MAXIMUM POINTS):
· A detailed Reason and/or Need must be listed for each category applied for.
· Categories without a Reason and/or Need will not be considered.
· Attach additional pages if needed.

A maximum of 10 lines will print in this field.
Attach additional document, if more space is needed.
PLEASE NOTE CATEGORY PREFERENCE BY MARKING 1ST, 2ND, 3RD, 4TH, 5TH, 6TH OR 7TH CHOICE.
Preference

Category I (Select one)

CFDD Regional Conference

CFDD CONFERENCE FEES

$350.00
  Recipients of CFDD Conference Scholarships, to be used within one year of presentation, are required to attend the CFDD Business Meeting, held during the Conference attended.
Preference

Category II

NACM Credit Congress
NACM® Legislative Conference/Advocacy Day

NACM CONFERENCE FEES
(You may make ONE selection)

$250.00
$250.00

  Recipients of NACM Credit Congress Scholarships are required to attend the CFDD Awards and Installation Luncheon, held the year following the award presentation.
Preference

Category III

DESIGNATION APPLICATION FEES
(You may make ONE selection)

  CBA (50% OF CURRENT FEE)
  CBF (50% OF CURRENT FEE)
  CCE® (50% OF CURRENT FEE)
  CCE® Re-certification (50% OF CURRENT FEE)
  CICP Re-certification

(50% OF CURRENT FEE)

 
Preference

Category IV

SCHOOL REGISTRATION FEES
(You may make ONE selection)
Upon completion with a passing grade.
  NACM
Certificate Session 		Session fee not to exceed $250.00
  CAP/ACAP $150.00 -
  CICP Course Fee $250.00
  NACM Online Courses – Accounting, Business Law, or Credit Law (50% of Current Fee)
Preference
Category V SELF STUDY COURSES
(You may make ONE selection)
  Business Communications
How to Read & Interpret Financial Statements
Communications Skills for Managers
Fundamentals of Business Writing
Keeping Customers For Life
Leadership Skills For Managers
Successful Negotiating
What Managers Do
Preference
Category VI

 NACM CD-ROM COURSES AND REVIEW PACKAGES
(You may make ONE selection)
Business Credit Principles (includes 6 CD's and Principles of Business Credit text)
Credit Business Associate (CBA) Review Package (includes 2 CD's)
Certified Credit Executive (CCE) Review Package (includes 1 CD)
 
Preference
Category VII NACM TELECONFERENCES
    NACM Teleconferences  

Recipients of a CFDD Conference or NACM Credit Congress Registration award must attend at least three (3) conference educational sessions. A copy of the CEU form must be submitted to the Executive Director within 30 days of the CFDD Conference. Attendance at NACM Credit Congress educational sessions will be verified through the NACM National Education Department. Failure to do so eliminates any future eligibility for Scholarship Awards.

Recipients of CFDD Conference Scholarships, to be used within one year of presentation, are required to attend the CFDD Business Meeting, held during the conference attended.

Recipients of NACM Credit Congress Scholarships are required to attend the CFDD Awards and Installation Luncheon, held the year following the award presentation.
APPLICANT SIGNATURE
DATE
SIGNATURE OF CHAPTER PRESIDENT

(Signature of Chapter President required unless applicant is a Direct Member)

*HARD COPY MUST BE RECEIVED ON OR BEFORE MARCH 15 (CURRENT YEAR)

**SUBMIT ONE (1) ORIGINAL APPLICATION AND THREE (3) COPIES

 
Send to:
Carol Fowle, CCE
Executive Director
NACM-CFDD
8840 Columbia 100 Parkway
Columbia, MD 21045
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