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Family Registration
Hotel (3 nights)
Round Trip Airline Travel
All of the Above
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2019 International Scholarship Application Form
First Name
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Last Name
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Email
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Phone Number
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Address
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Which scholarship are you applying for?
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If requesting Airline Travel, please select how many tickets
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Please list the first and last names of additional family members who will be coming to the conference with you and will be participating in any evening social events. Include the ages of all children.
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By clicking accept you acknowledge that if you are bringing a child, you will provide a caregiver that will stay with your child at all times during the conference hours. Children are not allowed in the conference room.
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Total nights you plan to stay at the Graduate Hotel.
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If you plan to stay more than 2 nights, please check this box to indicate that you understand you will be responsible for the cost of any additional nights at the hotel.
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Financial Need: Please let us know a little bit about your financial situation and why the reviewers should consider awarding you a scholarship .
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Personal Essay: Please let us know your involvement in the FamilieSCN2A community and why attending the FamilieSCN2A Conference is important to you. This should be written in essay form and be 500 words or less. (For more written space, please email us at info@scn2a.org)
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