Application for RSPA New England "Scholarship"
Statement:  This "scholarship" is open to any RSPA New England member in good standing.  Applicants must submit this form no later than April 30th.  If more than 5 members apply, then names will be drawn randomly.  "Scholarship" recipients will receive a check upon return from the World Conference after having successfully completed 60% of the total educational credit opportunities as shown on their educational report card which is emailed to the RSPA New England Executive Director, Pam Dodman, at pam.dodman@rspa.net.
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Name *
RSPA Number *
Signature.  By signing and submitting this form I acknowledge that I have read the statement at the top of this form and agree to the educational requirements and documentation needed. *
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