Request for Scholarship SEMBOA Membership Date MM DD YYYY Amount Requested $ Educational Meeting/Seminar Date MM DD YYYY Amount Requested $ Spring Mass. Building Officials Conference Date MM DD YYYY Amount Requested $ Fall New England Building Officials Conference Date MM DD YYYY Amount Requested $ Other: Date MM DD YYYY Amount Requested $ Member In Good Standing's Name First Name Last Name By accepting this scholarship, I hereby acknowledge that I may may be requested to provide a service at this SEMBOA event. * Yes, I understand No Town Reason Thank you for submitting your application. Our board will review your information and be in touch.