Application for the 2018 Holzheimer Memorial Student Scholarship for Economic Development Planning
Applications will be received until 5pm Pacific Standard Time on Friday, February 2nd, 2018.
Name of applicant
College or University
(Expected) Year of Graduation
2019 or later
When and for what purpose was this submission originally developed? (e.g. course, studio)
Was this submission originally an individual or group project?
Is this submission an original or adapted version?
Original version (no substantive changes were made)
Adapted version (substantive changes were made from the originally submitted work)
If adapted, briefly describe the alterations made (and by whom, if a group project)
Please certify that the following conditions are true by checking the following boxes:
I am (and all co-authors are) enrolled in or recently graduated (2016 or later) from a PAB-accredited planning program, or current APA student or early career members. (If any team members do not meet this condition, please contact
This submission is my own work, or if a group project, I have been primarily responsible for adapting the project for submission.
I have discussed my submission with my supervising faculty member, who has agreed to speak with the scholarship committee if my submission is chosen as a finalist.
Name, email and phone number of supervising faculty member
Please email your submission to
by 5pm Pacific time on Friday, February 2nd, 2018. Late submissions will not be considered. If your submission is larger than 10 MB, please consider emailing a Dropbox or Google Drive link to your file.
Never submit passwords through Google Forms.
This form was created inside of Portland State University.
Terms of Service