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Scholarship Application Form

All fields are required. Please complete one application per request.
Please complete the application at least two weeks prior to the
seminar date.

Contact Information


























Organization Information






Choose the course your organization is interested in taking.
View course titles, dates, and full descriptions on our web site.







Organizations selected will be expected to submit the following documents upon request:
  • One copy of organization's most recent annual operating budget
  • 501(c)(3) designation letter from the IRS
  • List of board members

Agreement

I understand that the decision for awarding the requested scholarship will be based on the information I have provided. I further understand that all applications are subject to review of the accuracy of representations made in this application. I certify that the information provided on this application is accurate, and that I will provide documentation if requested.

I understand that the scholarship is $100 and, if awarded, I will be responsible for paying the balance of the course fee. I further understand that the scholarship is not transferable.

Do you agree with the terms of this application?
I agree
I do not agree

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