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Weekend Workshop Grant Request
Email address *
Grant Request for SY 2018-2019 *
Required
Name of School *
Your answer
Name of School Coordinator *
Your answer
Email *
Your answer
Name of Consultant *
Your answer
Address
Your answer
College/University you will ask to give credits
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Title or Topic of Weekend Workshop *
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Dates of Weekend Workshop *
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COST
Estimated or actual RT airfare to host school US$ *
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Total estimated or actual honorarium for two days (Maximum $800 to $1,000 per day from EARCOS WW grant) US$ *
Your answer
Total estimated or actual per diem for three days US$ *
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TOTAL AMOUNT REQUESTED US$ *
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EARCOS Access Code *
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