1. FPRA – Orlando Area Chapter
MEMBERSHIP SCHOLARSHIP APPLICATION
Name: _____________________________________________________________________________
Employer: __________________________________________________________________________
Title: ___________________________________________
How long have you worked for this company? ______________________
Mailing Address: _____________________________________________________________________
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Phone: _______________________________
Email: _______________________________
How long have you been a member of FPRA – OAC? ________________________________
Have you served on a committee or held an office? _________________________________
Explain:_____________________________________________________________________________
___________________________________________________________________________________
What do you believe is the biggest benefit of FPRA membership?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
As a member, how do you see yourself being involved with the OAC?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
In confidence, please explain why you are requesting chapter financial assistance:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Submit application to:
Ryan Dumas
c/o UCP of Central Florida
3500 S Orange Ave.
Orlando, FL 32806
Email: rdumas@ucpcfl.org