UPPCC Scholarship Request

Congratulations on successfully completing your exam!

NASPO is pleased to offer a scholarship to reimburse you for the application and exam. Please fill out and submit the form within 60 days of the exam results and a member of NASPO's Finance team will be in touch.

Name*

First Name

Last Name

Payment To:*

Reimbursement Payable To:*

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Phone

Email*

Please go to Bill.com, NASPO's accounts payable processor, to sign up for a free epayment account. Once you have completed the process, please provide the Payment Network ID below. NASPO does not issue paper checks to individuals. If you have any issues or questions with signing up for Bill.com, please reach out to finance@naspo.org.

Bill.com Payment Network ID*

Application Receipt*

No File Chosen

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Exam Receipt*

No File Chosen

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Proof of Exam Completion*

No File Chosen

File uploads may not work on some mobile devices.