TEDC Scholarship Application

Name
Title
Organization
Phone
Fax
Address
State
ZIP
Years in Present Position
Total Years in Economic Development

List other places of employment:

Are you a member of TEDC? Yes No

Number of TEDC meetings attended in last two years:

List TEDC offices held or committees served on:

Other related state, regional or national
associations to which you belong.

Previous continuing education in Economic Development,
if any where when years completed.

Previous TEDC scholarship winner? Yes No
If so, when?

List any additional education and training

List any professional honors, awards,
or special recognition received in the last 5 years

Comment briefly on why you should be awarded a TEDC scholarship

Course or program in economic development you will be attending.
Please include sponsoring agency, date, and location.