Complete the application below by Dec. 1, 2019. Winners will be notified by Dec. 15, 2019. Travel and accommodation expenses will be the responsibility of the award winner. Click here if you choose to print and mail your application.

For more information, contact Teresa Solorio at tsolorio@nsca.org.

PERSONAL INFORMATION

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* 1. First Name

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* 2. Last Name

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* 3. Address

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* 4. City

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* 5. State

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* 6. Zip

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* 7. Email

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* 8. Phone

EMPLOYER INFORMATION

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* 9. Company Name

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* 10. Position

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* 11. Years at Company

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* 12. Address

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* 13. City

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* 14. State

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* 15. Zip

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* 16. List experience in electronic systems industry or related areas (if any):

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* 17. Why do you want to attend BLC?

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* 18. What do you hope to gain by attending BLC?

PLEASE INCLUDE:

Two letters of recommendation from your employer, co-worker, previous employer or former co-worker on company letterhead.

MAIL TO:
NSCA Education Foundation
3950 River Ridge Dr NE
Cedar Rapids, IA 52402
Attn: Teresa Solorio

OR EMAIL TO:
tsolorio@nsca.org

For questions, please call NSCA at 800-446-6722 or 319-366-6722.
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