Utah CCIM Chapter - Scholarship Application

* Applicant Name

* Company

* Work Address

* Work Phone Number

* Cell Phone Number

* Email Address

* CCIM Candidate Member #

* I am a College Student

Yes
No

* What is your collegiate status

Undergraduate
Graduate

* University

* Planned Graduation Date

* Major

Minor

* CCIM Course applying for

CI 101
CI 102
CI 103
CI 104

* Resume Letter

* Upload Resume

* Please provide a statement of 150-300 words explaining why you want to obtain your CCIM designation

* Initials

* Date