Middle Atlantic Section IMSA - Scholarship Form

* Your Name

Address

* City

* State

* Zip

* Phone Number

* Email Address

* Name of Educational Institution

* Address

* City

* State

* Zip

* Degree or Accreditation Sought

* I am a:

Qualified Applicant Member
Qualified Applicant Sponsored by a Section Member

* Relationship to Member

* What is the member's number?

* What is your Grade Point Average

* Application Letter: Applicants are asked to provide a brief introduction of themselves, personal background and their goals and aspirations. 255 Character Limit

* Essay: The Middle Atlantic Section IMSA is dedicated to providing quality certification programs for the safe installation, operation, and maintenance of public safety systems, and delivering value for members by providing the latest information and educa

Extra Curricular/Hobbies: Please describe your hobbies, interests and extracurricular activities 500 character limit

* Employment: The applicant is asked to provide details of current or past employment. This should include experience at summer employment, as well as part time employment both in the past and/or currently held.

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