SCHOLARSHIP APPLICATION FORM

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The JACK REIN and the ESSEX COUNTY scholarships will be awarded at the ECAA Fall meeting scheduled for October 31, 2007. Any regular member of the ECAA interested in applying for one of these scholarships must complete this application and submit it no later than October 1, 2007.

The Jack Rein Scholarship (up to $750) must be used at the MAAO Annual Assessor’s School to be held at the University of Massachusetts (Amherst) during the 2008 calendar year. The two ECAA Scholarships (each up to $375) can be used for any course related to assessing and must be used during the 2008 calendar year. Scholarship recipients must receive credit for the course and obtain a passing grade on the exam.

As you know the ECAA is committed to the profession of assessing and to provide educational opportunities to its members. The scholarship awards represent one way for the association to invest in those members wishing to enhance their professional status. In return for this investment, the association asks for your professional assistance. Please contact any ECAA Executive Committee member and let them know that you would like to invest some of your time in your association by serving on one of its many committees.

FILL OUT COMPLETELY (ATTACH ADDITIONAL INFORMATION SHEET(S), IF NECESSARY)

                ______ JACK REIN SCHOLARSHIP                  ______ ESSEX COUNTY SCHOLARSHIP

NAME:________________________________ POSITION TITLE: ________________________

HOME ADDRESS & TELEPHONE: ________________________________________________

WORK ADDRESS & TELEPHONE: ________________________________________________

LIST CURRENT JURISDICTION & OTHER COMMUNITIES YOU ARE AFFILIATED WITH:

________________________________________________________________________

If you do not have a designation please check course(s) you have successfully completed:

DOR Course 101 ____ MAAO Course 200 ____ MAAO Course 1 ____ MAAO Course 2 ____

MAAO Course 3 ____ MAAO Course 4 ____ MAAO Course 5 ____ Other/GIS/IAAO _____

LIST DESIGNATION(S) HELD: ___________________________________________________

LIST DESIGNATION YOU ARE WORKING TOWARD: __________________________________

STATE YOUR PROFESSIONAL CAREER GOALS AND REASON FOR APPLYING IN A BRIEF ESSAY.
(Please attach essay on a separate sheet)

SUBMIT WHAT YOUR BUDGET LINE ITEM IS FOR EDUCATION FOR FISCAL YEAR 2008 _____________

PLEASE RETURN THE APPLICATION WITH ANY ADDITIONAL INFORMATION BY OCTOBER 1, 2007 TO:

TERRY DEBLASIE
ASSESSORS OFFICE
CITY HALL
191 CABOT STREET
BEVERLY MA 01915

Signature: __________________________________                  Date: _________________________