Ohio Chapter Appraisal Institute

Ohio Chapter of the Appraisal Institute Diversity Scholarship

Application Form

Applications for 2024 Awards must be received by 5 p.m. on November 1, 2023

Name:*

Mailing Address:

Phone:

Email:

I am applying as: Student Applicant Current Appraisal Professional Applicant

Please indicate US Census eligible groups to which you belong:
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Hispanic or Latino
Other

Have you applied for an OCAI Scholarship before?
Yes
No

Have you received an OCAI Scholarship before?
Yes
No

If awarded the OCAI Diversity Scholarship, I plan to take the following Appraisal Institute course(s) in 2024:
*cannot be used for the Capstone Program, continuing education or travel expenses.

Student Applicant:

Academic Institution:

Location (City):

Declared Major:

Declared Minor:

Current GPA:

I am working toward (Master’s Degree, Ph.D., Bachelor’s Degree, other):

My class standing for the next semester will be (Masters Candidate, Doctoral Candidate, other):

List all courses you plan to complete during the term indicated above:

Course Title	Department No.	Credits	Cost

Current Appraisal Professional Applicant:

Firm Name:

Firm Location:

I am pursuing:

MAI Designation

SRA Designation

General Certification

Residential Certification

State Registered Appraiser Assistant Certification

I am a/an:

MAI

SRA

AI-GRS

AI-RRS

Student Affiliate

Candidate for Designation

Practicing Affiliate

Within the last 12 months, I have participated in the following Appraisal Institute events (if any):

Document Submission Checklist:

Essay/Personal Statement

Resume

College and/or Appraisal Institute Transcripts

Letter of Recommendation

Certification and Disclaimer

I hereby apply for an Ohio Chapter of the Appraisal Institute Diversity Scholarship.

I represent to the best of my knowledge and belief that all information contained on this application is true and accurate as of the date of this application. Should any such information change after the date of this application, I will immediately notify the Ohio Chapter of the Appraisal Institute. I understand that the Ohio Chapter of the Appraisal Institute will consider my application along with the applications of others for a limited number of scholarships and that submission of an application does not guarantee that a scholarship will be awarded. I hereby irrevocably waive any claim or cause of action at law or equity that I might have at any time against the Ohio Chapter of the Appraisal Institute, its Board of Directors, officers, committees, or employees as a group or as an individual for any act or failure to act in connection with this application or scholarship program. Should I receive a scholarship, I hereby grant the Ohio Chapter of the Appraisal Institute and its designees the right to use my name, photograph, and any statements made by me in any medium or context relating to promoting the scholarship program without additional compensation to me.

Applicant Signature:

Date: