James Rothstein Scholarship Application "*" indicates required fields Are you an employee of a SIA member company or a SIA student member?* Yes No Thank you for your interest in the James Rothstein Business Scholarship program. You need to be a SIA member to apply. For more information on how to become a member, please visit: www.securityindustry.org/joinI am* Student or new to the workforce (less than 3 years) Established security professional Educational Institution or Company*Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Preferred Email Address* Essay questionsWhy have you chosen to apply for the James Rothstein Business Scholarship? How will attending the Securing New Ground (SNG) conference will benefit you?*This field is hidden when viewing the formJudge 1This field is hidden when viewing the formJudge 2This field is hidden when viewing the formJudge 3This field is hidden when viewing the formJudge 4This field is hidden when viewing the formJudge 5This field is hidden when viewing the formJudge 6This field is hidden when viewing the formJudge 7This field is hidden when viewing the formJudge 8This field is hidden when viewing the formJudge 9This field is hidden when viewing the formJudge 10This field is hidden when viewing the formJudge 11This field is hidden when viewing the formJudge 12This field is hidden when viewing the formJudge 13This field is hidden when viewing the formJudge 14This field is hidden when viewing the formJudge 15This field is hidden when viewing the formJudge 16What skills do you possess that make you a good candidate for this scholarship? Describe how these qualities and attributes will help you to achieve success in your future academic and/or career pursuits.*This field is hidden when viewing the formJudge 1This field is hidden when viewing the formJudge 2This field is hidden when viewing the formJudge 3This field is hidden when viewing the formJudge 4This field is hidden when viewing the formJudge 5This field is hidden when viewing the formJudge 6This field is hidden when viewing the formJudge 7This field is hidden when viewing the formJudge 8This field is hidden when viewing the formJudge 9This field is hidden when viewing the formJudge 10This field is hidden when viewing the formJudge 11This field is hidden when viewing the formJudge 12This field is hidden when viewing the formJudge 13This field is hidden when viewing the formJudge 14This field is hidden when viewing the formJudge 15This field is hidden when viewing the formJudge 16Which business topics within the security industry interest you the most, and what steps have you taken to deepen your understanding of them?*This field is hidden when viewing the formJudge 1This field is hidden when viewing the formJudge 2This field is hidden when viewing the formJudge 3This field is hidden when viewing the formJudge 4This field is hidden when viewing the formJudge 5This field is hidden when viewing the formJudge 6This field is hidden when viewing the formJudge 7This field is hidden when viewing the formJudge 8This field is hidden when viewing the formJudge 9This field is hidden when viewing the formJudge 10This field is hidden when viewing the formJudge 11This field is hidden when viewing the formJudge 12This field is hidden when viewing the formJudge 13This field is hidden when viewing the formJudge 14This field is hidden when viewing the formJudge 15This field is hidden when viewing the formJudge 16Who is your role model in the business world and why?*This field is hidden when viewing the formJudge 1This field is hidden when viewing the formJudge 2This field is hidden when viewing the formJudge 3This field is hidden when viewing the formJudge 4This field is hidden when viewing the formJudge 5This field is hidden when viewing the formJudge 6This field is hidden when viewing the formJudge 7This field is hidden when viewing the formJudge 8This field is hidden when viewing the formJudge 9This field is hidden when viewing the formJudge 10This field is hidden when viewing the formJudge11This field is hidden when viewing the formJudge 12This field is hidden when viewing the formJudge 13This field is hidden when viewing the formJudge 14This field is hidden when viewing the formJudge 15This field is hidden when viewing the formJudge 16Applicant's Signature* Δ