2019 CCIRA Scholarship Application
Please complete this form to apply for consideration for the Phylliss Adams Scholarship to attend the 2019 CCIRA conference. *Note that all applicants MUST be members of CCIRA in order to be considered.
Email address *
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Current school district/school *
Your answer
What portion of the conference are you able to attend? *
Please briefly describe your background in education *
Your answer
Why would you like to attend the CCIRA conference? *
Your answer
Please share how you envision using the materials and knowledge obtained at the CCIRA conference to enhance your teaching in the classroom *
Your answer
How do you envision contributing to CCIRA in the future, beyond the conference? *
Your answer
A copy of your responses will be emailed to the address you provided.
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