NJCMA Galante Scholarship App

Rita F. Galante Scholarship Application

Please submit this application and required attachments no later than September 15, 2023

Click here for more information about the Rita F. Galante Scholarship or you can download the Application and submit the application and required attachments to Joe Kuntar at [email protected]

Contact Information

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Phone Number

Fax Number

Email Address

Information Requested

Chapter

Number of Years in Management Position

Current Employer

Current Employer Address

Current Employer City/State/Zip

Current Employer Phone

Current Employer Fax

Title

Number of Years at Club

Supervisor's Name

Supervisor's Title

Previous Employer

Previous Employer Address

Previous Employer City/State/Zip

Previous Employer Phone

Previous Employer Fax

Previous Employer Title

Number of Years at Previous Club

Previous Employer Supervisor's Name

Previous Employer Supervisor's Title

NJCMAA Activities 2022-2023

Essay

Please attach at 500-1,000 word essay in which you address the following:
The reason you wish to attend World Conference and how you think this experience will benefit you and your club.

Upload PDF
(pdf only)

Or Upload Image
(png, jpg, jpeg, gif only)

* Bold Fields are Required - Required number fields will not accept 0's.