Application for AMATYC Travel Assistance for 2017 conference in San Diego, CA.
For application to be considered, form must be completed by August 18th, 2017.

Be great with the Great 58! Applicants must agree to join NCMATYC Slack and be active for the 2017 Fall semester and 2018 Spring Semester. NCMATYC defines an active Slack member as one who participates "5 times in a month, 8 minutes on those days.", which is about 40 minutes a month. One can participate in Slack in various ways such as by sharing activities, adding emojis, posting weekly planning, asking questions, shout outs for great work in your department, low/high lights of your week, reading posts by other, etc. NCMATYC will award one person $1000 towards attending the 2017 AMATYC Conference for their work.

Email address *
First and Last Name *
Your answer
School *
Your answer
Preferred Mailing Address *
Your answer
Brief statement of why NCMATYC should assist your travel to the AMATYC conference ; (250 words or less). *
Your answer
How long have you been a member of NCMATYC? *
How many NCMATYC Conferences have you attended in the last 10 years? *
How many AMATYC Conferences have you attended in the last 10 years? *
During the 2017 Fall semester and 2018 Spring semester I agree to be active, at least 40 minutes a month, in NCMATYC Slack. *
Enter name as your signature. *
Your answer
Enter the Date *
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