New Mexico Women in Film Educational Scholarship Program for Members 2019 Application Form
Terms of Eligibility: terms and application process details available at https://www.nmwif.com/scholarships/. Please read carefully as they are part of the Section 2.0 signed agreement. You may also contact Board Members JoAnne Tucker at jotuc122@gmail.com, Joan Golden at joan.golden11@gmail.com or Lydia Clark at clark4999@msn.com. We are here to help. Thank you.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
NMWIF Membership card expiration date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Back
Next
SECTION 1.0: The Applicant
Please accept this application for consideration under one of the following categories:
I am applying for the Susan Baker Dillingham Scholarship, “Take Two” (This scholarship is for a woman in mid-life, over age 40, making a career transition into a new aspect of film with an amount of up to $1000).
I am applying for a scholarship to further my professional development
I am applying for the Sol Studio Scholarship of $250.
I am applying for the Bradd Hopkins screen writing memorial scholarship for a class or workshop in the amount of $400.
What educational program or training are you applying to attend? Why?
How will this education/training advance your career goals?
Why do you deserve this scholarship?
If you are applying for the Susan Baker Dillingham Scholarship, how will this further your transition into a new aspect of your film career? Please be as specific as possible.
Please include student ID if applicable.
Browse Files
Cancel
of
Please include as an attachment official documentation, description, details, dates, and pricing of the education program, online course, workshop you want to attend.
Browse Files
Cancel
of
Back
Next
SECTION 2.0: The Agreement
I, the applicant, understand and acknowledge the stipulations, eligibility, terms and agreements as outlined by NMWIF in applying for this scholarship grant program for members. I have legal rights and consents to all material I am using or submitting. I agree to share lessons learned as part of the Brown Bag Lunch and Learn series or other NMWIF event. I confirm that all the information and presentations submitted in connection with this application for funding are true and correct to the best of my the knowledge and belief.
Name
Please upload your signature:
Browse Files
Cancel
of
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please submit application no later than midnight Tuesday, October 15, 2019 online at nmwif.com. Inquiries can be directed to NMWIF Board members JoAnne Tucker: jotuc122@gmail.com, Joan Golden: joan.golden11@gmail.com, Lydia Clark at clark4999@msn.com.
Submit
Should be Empty: