SMDSA Stanley Pozdziak Memorial Scholarship Application
Email address *
Applicant's Name *
Your answer
Applicant's Phone Number *
Your answer
What is the educational activity you would like to attend? (Please include links to online information if available.) *
Your answer
What is the total cost, and how much are you requesting? *
Your answer
What is the deadline for submitting payment? *
Please describe how your participation in this educational activity supports the SMDSA's mission to facilitate the transition of society to a truly democratic and more socialist one. *
Your answer
Thank you for your application. We'll be in touch soon!
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service