North Carolina CCIM - CI 101
Michael J. Barr, CAE, RCE Named Endowed Scholarship
Scholarship covers up to $500 in Class Cost
Must be used on a North Carolina CI Class in the year scholarship was issued.
Check will be dispersed upon completion of the class.
Named Endowed Scholarship Program Application
(To be completed by scholarship applicant and submitted to chapter)
Date Submitted:______Chapter: ______
Applicant's Name: ______
Company: ______
Work Address: ______
City/State/Zip______
Work Phone Number: ______Email: ______
Home Address: ______
City/State/Zip______
How many years have you been involved in the real estate industry? ______
Have you taken CI Intro? Yes No
Do you plan to obtain the CCIM designation? Yes No
What other CCIM CI Classes have you taken? (Please Circle) CI 101 CI 102 CI 103 CI 104
Please include the following with this application:
1. Current Resume
2. Three professional references
3. Typed letter which includes answers to the following questions:
§ Why do you want to become a CCIM?
§ What are your contributing achievements to your company and/or industry?
§ What are your career goals?
§ Would you take the course even if the scholarship were not available and why?
4. Media Contacts
References
Provide three professional references.
Name: ______Position/Relationship: ______
Address: ______
Phone Number: ______
Length of time you have known this person: ______
Name: ______Position/Relationship: ______
Address: ______
Phone Number: ______
Length of time you have known this person: ______
Name: ______Position/Relationship: ______
Address: ______
Phone Number: ______
Length of time you have known this person: ______
By submitting this application, I agree that in the event I am chosen to receive a scholarship, the CCIM Education Foundation and/or CCIM Institute and Chapters may use my name, likeness and/or profile in printed and electronic promotional materials.
By:______
Applicant Date
By:______
Chapter President Date
Submission:
Return completed application to the North Carolina Chapter of CCIM
NC-CCIM
23 Oak Branch Drive
Greensboro, NC 27407
Phone: 336-854-5868 Fax: 336-292-5416 Email: