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
First and Last Name
Enter your street address, including city, state, and ZIP code.
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.
Enter your county name here.
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:
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.
Shade tree commissioner
If you are a municipal employee, what is your job title?
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.
Send me a copy of my responses.
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