PACEC 2017 George O'Neill Memorial Scholarship Award Nomination ...
PACEC 2017 George O’Neill Memorial Scholarship Award Nomination/Reference Form
Student Nominee’s Name: (Type PASCEC Student’s Name here) The student PASCEC member should provide this Nomination Form to their professionals’ references for completion. This form, the 2 professional recommendations and the Application form must be submitted, by the applicant, via ONE email with ALL attachments, to: [email protected] by close of business, Oct. 20, 2017. Check below when completed: Nomination Form 2 Letters of Recommendation Application Form with Essays By typing my name below, I hereby certify that the Nominee is a full-time student during this academic year, as defined by an accredited college or university, or that the nominee is a part-time student who is not engaged in fulltime employment as a certified professional in the field of special education. In addition, I certify that all of the information submitted in the Nomination Form and Recommendation is true, accurate, and complete. Section I: 1. 2. 3. 4. 5. 6.
Professional Nominator/Reference Information:
Reference/Nominator’s Name: CEC Member ID: Address: Email: Phone: Nominator’s Relationship to Nominee:
Section II:
Please attach your Recommendation for the Nominee. Applications Due OCTOBER 20, 2017
The Scholarship Application Form and supporting documents must be submitted via ONE email and include ALL attachments, by close of business on the due date, to Dr. Constance Lyttle, Esq.; Committee Chairperson: [email protected]
Student Nominee’s Name: (Type PASCEC Student’s Name here) The student PASCEC member should provide this Nomination Form to their professionals’ references for completion. This form, the 2 professional recommendations and the Application form must be submitted, by the applicant, via ONE email with ALL attachments, to: [email protected] by close of business, Oct. 20, 2017. Check below when completed: Nomination Form 2 Letters of Recommendation Application Form with Essays By typing my name below, I hereby certify that the Nominee is a full-time student during this academic year, as defined by an accredited college or university, or that the nominee is a part-time student who is not engaged in fulltime employment as a certified professional in the field of special education. In addition, I certify that all of the information submitted in the Nomination Form and Recommendation is true, accurate, and complete. Section I: 1. 2. 3. 4. 5. 6.
Professional Nominator/Reference Information:
Reference/Nominator’s Name: CEC Member ID: Address: Email: Phone: Nominator’s Relationship to Nominee:
Section II:
Please attach your Recommendation for the Nominee. Applications Due OCTOBER 20, 2017
The Scholarship Application Form and supporting documents must be submitted via ONE email and include ALL attachments, by close of business on the due date, to Dr. Constance Lyttle, Esq.; Committee Chairperson: [email protected]
