First Name *

Last Name *

Title *

Organization *

Address Line 1 *

Address Line 2

City *

State *

Enter required value

Postal Code *

Phone *

Email *

Chamber Experience *

(Include the name of the chamber, number of years you worked there, and your title for each chamber you have worked at)

Professional Designations *

List any Chamber or Association Education (Ex: IOM, CCE, etc.)

Population Served *

Number of Paying Members *

Number of Employees *

What is the approximate annual operating budget for your Chamber? *

2025 Chamber Budget

Continuing Education Budget *

If you have a budget for continuing education then put the amount in the blank, if not then put zero. 

Does your Employer/Board know that you are applying for a scholarship? *

Yes

No

Have you ever received a TCCE Scholarship before? *

Yes

No

If you answered YES above, tell us which TCCE scholarship you received and the year.

Describe Your Qualifications for Receiving a Scholarship *

(i.e. financial need, need to build a network, new to chamber, etc.)

Summarize Your Career Objectives *

(i.e. what are your goals in the chamber profession, how long you intend to remain in the industry, do you plan to stay in Texas, etc.)

Additional Comments and/or Questions

If you'd like to leave any additional information about yourself or you have any questions please include them here. If not, you may leave this section blank.