NCBA Scholarship Application Request Form

General Information

Please make sure you answer all questions that are applicable to you. If you do not answer all questions, we may not be able to determine your eligibility for the scholarship in which you are applying for.

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* 1. Applicant Name

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* 2. NCBA Member Firm or In-House Counsel Member Name:

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* 3. Member Firm or Company Address:

Address

City/Town

State/Province

ZIP/Postal Code

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* 4. Relation of Applicant to Member:

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* 5. Applicant Home Address:

Address

City/Town

State/Province

ZIP/Postal Code

Applicant Email Address

Applicant Phone Number

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* 6. Which scholarship are you applying for?

Scholarship 1: One scholarship of $5,000 will be awarded in the form of a check, to be used for tuition, fees (to include room and board), books, supplies or equipment connected with enrollment in a non-vocational, accredited two-year or four-year college or university in pursuit of a degree, or a vocational school pursuing paralegal studies.

Scholarship 2: One scholarship of $7,500 will be awarded in the form of a check, to be used for tuition, fees (to include room and board), books, supplies or equipment connected with enrollment in an accredited school of law in pursuit of a Juris Doctor degree.