To nominate a student for the SHS scholarship , complete this form as indicated. This scholarship is awarded to one person each year. Please forward any questions to Bonnie Cameron, headquarters operations administrator, 770-449-0461, ext. 105.
Nominations must be received by Dec. 1.
Nominee's Name:
School:
Degree:
E-mail Address:
Mailing Address:
City, State, Zip code
Nominee's Phone Number:
Nominee's Fax Number:
Nominee's Membership Number:
Nominee's Chapter Number:
Does nominee have a minimum GPA of 3.00 on a scale of 4.00?
Nominator's Name:
Nominator's Title:
Nominator's School:
Nominator's Mailing Address:
Nominator's City, State, Zip:
Nominators Phone Number:
Nominator's Fax Number:
Nominator's E-mail Address:
List names and addresses of three individual that have consented to provide professional or academic references for the nominee. Each individual must submit a letter of reference via e-mail to bcameron@iienet.org by Dec. 1.
Reference 1 name and address:
Reference 2 name and address:
Reference 3 name and address: