NACM
CREDIT AND FINANCIAL DEVELOPMENT DIVISION

SPECIAL SEMINAR/WORKSHOP
AWARD APPLICATION

5 Page Maximum (including Application)
Must be typed or computer generated. Additional document may be attached.

Membership Class:

 

Chapter:
City:
State:

SEMINAR OR WORKSHOP CONTENT
SPEAKER(s)- Title and Credentials:
Date:
Day:
Length of
Program:
CEU/CCE Re-Certification Points:
Number Earned:
  
   
Control Number:
  
ATTENDANCE
Percent of Chapter Members Attending:
  		%  
Percent of Chapter Member Participating
In Preparation of Seminar:
 %  
Number of Non-Members Attending:
 
Total Attending:
 
PUBLICITY(Attach a copy of the seminar/meeting notice)
How promoted and to whom:

FUNDS

 
Total New Proceeds:
 
Use of Funds:
Number of new members gained as a result
of attendance at this regular meeting:
 
Signed:
Date:
President
 
 
 
Date:
Program Chairman
 
*HARD COPY MUST BE RECEIVED ON OR BEFORE MARCH 15th (CURRENT YEAR)

**SUBMIT ONE (1) ORIGINAL APPLICATION AND THREE (3) COPIES
MAIL TO:
Carol Fowle, CCE
Executive Director
NACM-CFDD
8840 Columbia 100 Parkway
Columbia, MD 21045