Eligibility: Include with this completed application form: The awards committee will not review incomplete, ineligible, or late applications.

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Application deadline: March 31st, 2008.                

IFDA Membership No. _________________           

Date: ________________________ Social Security No. ________________________           

Full Name of Applicant: __________________________________________________
                                 (Last)                                 (First)                        (Middle)           

Permanent Address: ____________________________________________________           

City: __________________________ State: _____________ Zip: _______________           

Telephone/Home: ____________________ Telephone/School: ___________________           

E-mail address: _________________________________ Fax: ___________________           

Professional Affiliation(s): _________________________________________________           

Academic Institution: ____________________________________________________           

Mailing Address: ________________________________________________________           

City: __________________________ State: _____________ Zip: ________________           

Area of Academic Study: ________________________________________________           

Cumulative Grade Point Average: _________________________________________           

Present Standing in School:                       
Freshman [  ]   Sophomore [  ]   Junior [  ]   Senior [  ]

Return completed application with essay, official transcript and letter of recommendation to:

Bernd G. Heinze, Esq.

IFDA Educational Foundation
150 South Warner Road
Suite 156
King of Prussia, Pa. 19406