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Hotel
Family Registration
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Yes
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1
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I agree
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2019 Conference 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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Have you applied for funding from other resources for the conference?
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If "Yes", from where?
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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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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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Personal Essay: Please let us know your involvement in the FamilieSCN2A community and why attending the FamilieSCN2A Conference is important to you. 500 words or less (For more written space, please email us at info@scn2a.org)
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