Application Form
Valerie Bursten Scholarship Award

Annual Application Period

  1. The application period is open each year from April 1 to December 31

  2. Application must be submitted online using the form below

  3. Selection will be by leading window coverings professionals as members of the International Window Coverings Exchange.
    Winners will be announced by within 30 days following selection by the judges

Application Form

Please complete the following form in full detail and submit by December 31 each year

PROFESSIONAL
Sales Consultant or Business Owner
Business Owner
Employee / Contractor
STUDENT
Attending recognized design school curriculum
Date of Application
First Name
Last  Name
Middle
Address
City
State
Zip
Email
Business Phone
Cell Phone
Residence Phone
Fax:
Best time to contact you:
   
Date of birth
Gender
   
How did you learn about the scholarship program?
Why do you want this scholarship, and why do you feel qualified to receive it?