Applicant / Nominee Details

(Must be a WAPPA Financial Ordinary Member with minimum 3 years membership)

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* 1. Applicant / Nominee Name

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* 2. Mobile

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* 4. Current Position

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* 5. School Site

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* 6. School Address

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* 7. School Phone

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* 8. Signed
Pursuant to applicable electronic signature laws, I affirm that my typed name constitutes a valid signature

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* 9. Date

Date

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* 10. Please select the category for your project.

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* 11. Task / Project Leadership Team Members (if applicable)

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* 12. Please upload the following documents:

  • Written Statement: Addressing all Assessment Criteria (max 2 A4 pages, 11pt Arial, 20mm margins). If there are multiple members of the team please clearly identify lead and list additional members. Mandatory.
  • Supporting Information: Up to 2 additional pages for photos, data, graphics, or testimonials, and/or a video (max 3 minutes). Optional

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