Scholarship Application

Please contact Todd Elliott for more information on the program.  770-491-3313 x. 309



Please complete and submit the brief form below to be considered for an NACM-SE Scholarship
Name: *
Company:: *
Mailing Address: *
City: *
State: *
Zip: *
Phone: *
Email: *
Title *

Please select from the following or click other
NACM Credit Congress
NACM All South
Legislative Conference
CAP Course (identify class below)
Seminar   (identify the program below)
Other - Please describe the program you wish to attend or
participate in. Please list in order of preference below.

Education:  High School Diploma   College Degree Graduate School

Total years in credit:  * Total years in current position:  *

NACM designations received:  CBA CBF   CCE

List your involvement with NACM including industry groups, board member or committee activities:

Does your company support your continuing education financially? yes   no


* indicates required field

Scholarships awarded by NACM-SE are granted at its sole discretion and may be full or partial scholarships for the requested program. Scholarships are limited to one per year, per person, and may not be awarded to the same individual for the same event in consecutive years.