Healthy Trees, Healthy People - Scholarship Application
A number of scholarships are available to cover the registration cost of this event. Please complete this form and you will be considered for a scholarship. Preference will be given to applications received by Monday, April 16. If you have any questions regarding this application, contact Ellen Roane at eroane@pa.gov.
Email address *
First and Last Name *
Your answer
Mailing address *
Enter your street address, including city, state, and ZIP code.
Your answer
Municipality *
If you are a municipal employee or shade tree commissioner, enter the name of the municipality you represent. Otherwise, enter the name of the municipality where you live.
Your answer
County *
Enter your county name here.
Your answer
How many miles are you located from the conference venue (Pittsburgh)? *
Enter the number of miles below. You may calculate mileage using Google Maps here: https://www.google.com/maps/dir//Frick+Environmental+Center,+2005+Beechwood+Blvd,+Pittsburgh,+PA+15217
Your answer
Are you a shade tree commission/committee member or municipal employee? *
Please indicate if you are a shade tree commissioner or municipal employee. Select all that apply.
Required
If you are a municipal employee, what is your job title?
Your answer
Please briefly explain why you want to attend this conference and how this scholarship will enable you to attend. *
Please limit your answer to approximately 3 to 4 sentences.
Your answer
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