Name:*

Position:

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I am currently pursuing:   MAI Designation    SRA Designation    General Certification    Residential Certification

I am a/an:   MAI    SRA    SRPA    SREA    RM    AI-GRS    AI-RRS

I have obtained my college degree(s) from the following university/college(s):

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Degree:

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Degree:

University:

Within the last 12 months, I have participated in the following Appraisal Institute events (including chapter meetings, service on chapter committees, etc.)

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Event:

Event:

Event:

Event:

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If awarded an Amy Kuhn, MAI Memorial Scholarship, I plan to take the following Appraisal Institute course(s) in 2019:

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Please attach the following to your scholarship application:

By checking the following boxes and signing below, I verify that I am:
An Ohio Chapter Professional
A State of Ohio resident
Female
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