David Arthur Maynard Scholarship Application

Applicant Contact Information:

* Name

* Address

* City

* State

* Zip

* Telephone Number

* Cell Number

* Email Address

* What is the best way to notify you of the results?

* NEIC Sponsor Name

* Email Address

* Telephone Number

* What is the best way to notify your sponsor of the results?

To obtain a sponsor contact [email protected]

* College or University Attending

* Major / Minor

* Extra-curricular Activities

* Are you a former PMI-NEIC scholarship winner – what year(s)?

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