Conference Registration Scholarship Request

 

A limited number of partial scholarships for conference registrations are available to assist those in need of financial aid to attend the Conference.

 

Please fill-out the request form below and submit. You will be contacted within 10 business days via e-mail regarding your request.

 

 If approved, you will be required to acknowledge acceptance and you must follow instructions to apply your scholarship toward your conference registration in a timely manner. Scholarships are limited, therefore any scholarships awarded that are not used within the time frame allotted to you will be placed back into the system for someone else to utilize.

 

Please note that the organization or individual donating the scholarship may be given your name and e-mail for their records.

 

* indicates required fields 
  *Name:
  Organization:
  *Address:
  *City, State, Zip:
  *Address belongs to:  Organization
 Home
  *Phone:
  Fax:
  *E-mail:
  *Full-Time Student:  No
 Yes
  If Student; School Name:
  If Student; # of hours a week in attendance:
  Place of Employment:
  Number of hours a week you work:
  *Reason for Financial Aid:
  References and Contact Info:
  Additional Notes:
Please click on the Submit button to submit the form details.


     
     
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