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Scholarship Application
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* Indicates required question
Name
*
Your answer
Mailing Address
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Your answer
E-mail Address
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Your answer
Phone Number
*
Your answer
Please mark your current certifications. (Check all that apply)
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National Certification (RID, NAD)
Utah State Certification (Novice, Professional, Master)
EIPA Certification
I am not currently certified
Other:
Required
Are you a member of RID?
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*Applicants must be a member in good standing with UTRID and RID
Choose
Yes
No
Are you a member of UTRID?
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*Applicants must be a member in good standing with UTRID and RID
Choose
Yes
No
How much are you requesting? (max $500.00)
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Your answer
What are you requesting the funds for?
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Your answer
In 250 words or less, or a video in ASL 5 minutes or less, please describe how these funds, used for this purpose will benefit you as an interpreter. (If using video please provide an accessible link here.)
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Your answer
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