NHRID Scholarship Application
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First Name: *
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Last Name:  *
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Mailing Address (including number, street, town, and zip code): *
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Contact Number (cell/text/VP/etc.): *
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Title & Sponsor of Event:  *
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Date(s) *
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Location *
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Registration Deadline *
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Registration Fee *
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Have you applied for a NHRID scholarship in the past? *
If yes, when?
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*I understand that if granted funds I am required to “give back” to NHRID as an active member either by joining a NHRID committee, teaching a local professional development workshop, running for office, or volunteering. Here is how I plan to "give back" to NHRID:   *
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