“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 *
Name
Address old Organisation *
Address old Organisation
NOMINEE / APPLICANT
Name *
Name
Submission requirements
Answer in 250 words or fewer
Answer in 250 words or fewer
Answer in 250 words or fewer
Answer in 250 words or fewer
Answer in 250 words or fewer