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Request for Region II CSPD Scholarship Funds
Region II CSPD will consider individual agency/district requests for CSPD funds to supplement training opportunities at the agency/district level.  The amount of funds is limited and all decisions for funding are made by action of the Region II CSPD Council based on specific criteria related to need, impact, district/agency support, etc.  All requests must be submitted in writing, utilizing this Request for Region II CSPD Scholarship form.  Please know that you will need to show proof of attendance and will be reimbursed to the entity listed on the application.
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Email *
Contact Person First Name: *
Contact Person Last Name: *
Contact Person Email Address: *
Date of Request: *
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Address where payment will be sent: *
Entity/individual to whom the payment will be paid out: *
City and Zip Code: *
State: *
Agency/District Represented: *
Phone Number: *
Who will be attending: *
Title and location of activity: *
Date of activity: *
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How will this activity/event benefit students with disabilities? *
Total cost of activity:  ***CSPD will only fund up to half of the total event cost.  All decisions will be made by the council.  Reimbursement will only be made after attendance is verified. *
Total amount requesting: *
A copy of your responses will be emailed to the address you provided.
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