KYACAC Professional Development Grant Application
For Public School Counselors
First Name
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Last Name
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Institution
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Address
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City
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State
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Zip
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Email Address
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Brief Description of Institution/Organization
Size
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Percent of Students on Free/Reduced Lunch
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Other Aspects of Your Institution Reflecting a Need:
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Certification to Attend
If I receive this grant, I definitely will be able to attend:
If I receive partial funding, I would be able to find some additional funds to attend:
This grant allows the recipient to choose which professional development opportunity he/she wishes to attend. Please check the applicable line:
Please Estimate Your Expenses Below:
Cost of Registration
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Air Travel/Mileage @ .55 per mile (whichever is most economical)
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Hotel Expenses (# of nights x cost per night)
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Total Expenses
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Submit
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