LAMA Scholarship Form

Complete the following form to apply for a LAMA scholarship. Applications will be evaluated and a selection made by the LAMA Foundation at the next scheduled meeting following receipt of the application(s).

Date*
MM slash DD slash YYYY
Name*
Title First Last Suffix
Position Title*
Department
Direct Work Phone Number*
Work Email*
Organization/Institution*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Phone
Fax
Email
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Phone*
Supervisor/Manager Name*
First Last
Letter of Request:
A letter of request must accompany this application. This letter should state the reason that the applicant is requesting financial assistance, the amount that is being requested, the purpose for which the funds will be used (tuition/fees, transportation, room/board, etc.) and any information which the applicant would like to have considered by the Committee. If application is for a course, information such as the name of the course, the dates that the course is offered, the sponsoring institution or organization, a copy of the course outlines, the fee or tuition amount, etc. should be submitted. If an internship or visit to another facility, information such as the length of the program, the institution or organization being visited, the individual responsible for organizing the agenda, the information or experiences being sought, etc. should be submitted. Other types of educational opportunities should be comparable explained.
Attach your Letter of Request*
Max. file size: 5 MB.
Curriculum Vitae:
Curriculum vitae must accompany each application. The curriculum vitae should include, but need not be limited to, an employment history, listing of formal education, additional education, publications/presentations, professional and civic activities and affiliations.
Attach your Curriculum Vitae*
Max. file size: 5 MB.
References:
Three letters of recommendation should be submitted with each application.
Attach your Letters of Recommendation*
Drop files here or

Max. file size: 5 MB.

LAMA Scholarship Form

Letter of Request:

Curriculum Vitae:

References: