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New England Presenters -- Professional Development Fund Application
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* Indicates required question
Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Organization
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Your answer
Name of the opportunity/event you are requesting funding for
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Your answer
Date of the opportunity/event you are requesting funding for
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On-demand opportunities are eligible
Your answer
Location of the opportunity/event you are requesting funding for
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Virtual opportunities are eligible
Your answer
How will this opportunity/event benefit you and your career?
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Your answer
How will this opportunity/event benefit your organization?
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Your answer
What are your goals for attending this opportunity/event?
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Your answer
Is this a new professional development opportunity for you? If yes, please explain
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Your answer
Total amount requested (up to $500)
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Your answer
Please provide a breakdown of anticipated expenses for this opportunity. Include: Travel, Per Diem, Conference/Event/Workshop Registration, Stipends or honoraria for an outside contractor, Supplies, Other expenses
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Your answer
This fund gives priority to emerging leaders, people of color, and those new to the region. You may choose to self identify below.
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Any additional information that will help us to evaluate your application.
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A copy of your responses will be emailed to the address you provided.
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