Position:
__________________________Years of
Service ____________________________
If
you are awarded this scholarship, will your organization or employer provided
additional financial support?(i.e.
paid time off, travel expenses, etc.).Yes
______No ______If
yes, please describe: _____________________________________________________________________________________________________
Check all of the following that apply.
I am an Archivist ____ Historian ____ Librarian ____
Professional Genealogist ____.
I hold the following genealogical credentials: AG
___, CG ___, CGRS ___, CLS___, CGL ___, Other __________________.
I am a graduate of: NGS Online Course ____, NGS Correspondence Course ____,
EXPERIENCE: Years of Personal Genealogical
Research _____ Years Assisting Others ______
Describe your genealogical
background (maximum 250 words - may be submitted on separate sheet of paper)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
BENEFITS: Explain how attending the Institute
would benefit the work you do for the genealogical community (maximum 100
words - may be submitted on separate sheet of paper)
___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ How did you learn of
this scholarship?:
___________________________________________________________________________________________ ___________________________________________________________________________________________ References are not
requested or required.If provided,
a maximum of two references will be accepted. Your signature signifies that you are available to
attend the 2007 Institute if awarded the scholarship. Applications must
be received by January 12, 2007. Winner will be notified no later
than February 20, 2007. Applications should be mailed to:Richard S. Lackey
Scholarship, NIGR Alumni Association, P.O. Box 14274, Washington, DC 20044-4274
or sent as an e-mail attachment to Teresa
A. Kelley & Willis White.
Signature: ___________________________________Date:
_______________________