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Edward Rhodes Award Sponsorship Form

Sponsor Information

Name of Sponsor:
Address:
City, State, Zip:
,
Telephone:
Example: 999-555-1234
Sponsor's E-Mail Address:
Sponsor CAC Membership Status:
Affiliate
Associate
Corresponding
Full
Retired
Life
   
Sponsor's Employer (or "Retired"):

Applicant Information

Applicant Name:
   
Is the applicant employed in forensic science?:
  Yes
No
   
IF YES, where is the applicant employed and for how long?
IF NO, describe the applicant’s activities in preparing for a career in forensic science:
 
   
Please describe how the applicant has shown initiative or potential in professional development:
 
   
I certify that I am the sponsor listed above, and that all the information submitted on this form is true and correct to the best of my knowledge.