ERAPPA Ambassador Application

Ambassador Scholarship Programs
Part I
(to be completed by the Applicant, Part II must also be completed by your Supervisor)

Scholarship Information
Chapter*
Applying for*
Applicant Information
Applicant Name*
Title*
Applicant Institution*
Applicant Address*
City*
State/Province*
Zip/Postal Code*
Work Phone*
Your E-Mail*
Direct Supervisor Name*
Supervisor’s Phone*
Supv. E-Mail*
Applicant Eligibility Criteria
Have you attended an ERAPPA Annual Conference in the last 5 years?
- Yes
- No
Do you work at an education institution and are in the field of education facilities?
- Yes
- No
In your job/position do you serve in an administrative, supervisory or decision making capacity?*
- Yes
- No
Other Information: Any other information you feel the committee may want to know.