“Hoss” Beckman Memorial Scholarship / Nomination Form

FULL SUBMISSIONS REQUIRED BY 20 FEBRUARY 2018.
A representative must be in attendance on the evening to collect the award. Winners will be announced at the presentation evening on 18 April 2018.

NOMINATOR / CONTACT

Name

First Name

Last Name

Email Address

Subject

Organistion

Address old Organisation

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

NOMINEE / APPLICANT

Name

First Name

Last Name

Position

Name of Company/University/School

Phone Number

Submission requirements

1. How will this experience help you follow your dreams and inspire others?

Answer in 250 words or fewer

2. Who and what inspires you?

Answer in 250 words or fewer

3. Explain your technical experience?

Answer in 250 words or fewer

4. What stands out about your management and leadership qualities?

Answer in 250 words or fewer

5. Describe your demonstrated achievements?

Answer in 250 words or fewer