Name: ……………………………………………………………………………………..

Address: …………………………………………………………………………………..

Chapter Affiliation: ………………………………………………………………………..

National Member # ……………………………… Chapter Member # …………………

State the intended use of the Award.
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How will this Award enhance your knowledge or technique in the art of Pulled Thread embroidery?
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What is your experience in Pulled Thread Embroidery?
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Have you ever displayed your Pulled Thread embroidery for public viewing at a Seminar, Members Show, etc?  Where and when?
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Have you ever begun an EAC correspondence course and not completed it? Please provide details stating the reasons, if you have not completed such a course.
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What opportunities are there in your locale for studying Pulled Thread embroidery?
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Are finances a factor in applying for this Award?
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Please provide a short resume of your background and interest in Pulled Thread embroidery.  Use additional paper, if necessary.
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Name of your Pulled Thread work being shown at this year's Seminar Members Show.
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I agree to be bound by the policies governing this Award.  I understand that my application for the Pulled Thread Award for further study will be considered with a piece of my Pulled Thread embroidery submitted at the first Seminar after this application.  The EAC Education Committee Award Panel reserves the right to withhold this Award.  I agree to apply for this Award for the intended use, as stated above.

Signature:  __________________________________

Witness:     __________________________________

Date:            __________________________________

COMPLETED APPLICATIONS MUST BE RECEIVED BY THE EDUCATION DIRECTOR BY APRIL 15 OF EACH YEAR.

Address of the Education Director is available in the Embroidery Canada Magazine.