NCBA Scholarship Application Request Form Survey

1.Applicant Name(Required.)

2.NCBA Member Firm or In-House Counsel Member Name:(Required.)

3.Member Firm or Company Address:(Required.)

Address

City/Town

State/Province

ZIP/Postal Code

4.Relation of Applicant to Member:(Required.)

5.Applicant Home Address:(Required.)

Address

City/Town

State/Province

ZIP/Postal Code

Applicant Email Address

Applicant Phone Number

6.Which scholarship are you applying for?(Required.)

Scholarship 1: One scholarship of $5,000 will be awarded in the form of a check, to be used for tuition, fees (to include room and board), books, supplies or equipment connected with enrollment in a non-vocational, accredited two-year or four-year college or university in pursuit of a degree, or a vocational school pursuing paralegal studies.

Scholarship 2: One scholarship of $7,500 will be awarded in the form of a check, to be used for tuition, fees (to include room and board), books, supplies or equipment connected with enrollment in an accredited school of law in pursuit of a Juris Doctor degree.

NCBA Scholarship Application Request Form

General Information