Gail Ryba Memorial Scholarship 2011 Application
Click here for a downloadable PDF. Sample below.
Applicant’s Contact Information
Applicant’s Name _________________________________________________________
Mailing Address_________________________________________Zip Code_________
Day Phone ( )_______-__________Evening Phone ( )______ - _____________
Email Address__________________________________________________________
Background Information
Traffic Skills 101 Instructor’s Name __________________________LCI#___________
TS 101/ Dated Completed___/___/___ Location _______________________________
TS 101 Written Exam Score________________Road Exam Score__________________
Are you fluent in Spanish? (circle one) YES or NO
Are you fluent in any other languages other than English or Spanish? If so please list.
______________________________________________________________________
In 500 words or less please describe to the BCNM Bike Education Committee how you will meet the requirements of the Gail Ryba Memorial Scholarship within the two years the scholarship is awarded. (Please attach your response, type written, to the application page when submitting.)
Please email your application and your 500 word response to: This e-mail address is being protected from spambots. You need JavaScript enabled to view it by Jan. 10, 2011; or mail your application and typed 500 word response to BCNM Education Committee, PO Box 3326, Corrales, NM 87048, post marked by Jan. 10, 2011. Click here for the application process.
DEADLINE EXTENDED to March 1, 2011.
