Professional Development & Hotel Assistance Application
Utah Afterschool Network (UAN), in partnership with the Utah Department of Workforce Services, Office of Child Care, Utah State Board of Education, and United Way of Salt Lake, is providing Professional Development Award opportunities to out-of-school time professionals in Utah to help offset the registration cost for the two-day annual Jump Start Conference. Hotel Assistance Awards are also available to assist with hotel accommodations for individuals attending both days of the conference, with priority given to organizations more than 90 miles from the conference venue.

Professional Development and Hotel Awards Timeline:
Open Date: August 2, 2019 at 10:00 AM
Close Date: September 6, 2019 at 6:00 PM
Recipients will be be notified via email by September 9, 2019.

PROFESSIONAL DEVELOPMENT AWARDS
- Professional Development Awards are only available for the full, two-day conference registration.
- One award is intended to cover a partial cost of one individual’s conference registration to attend both days of the conference and cannot be shared among multiple individuals.
- If one award is received, the organization will register one individual for the two-day conference with a discount code, valued at $100.
- Please wait to register individuals until you receive notification about the Professional Development Awards so you can use the discount code at the time of registration.
- The organization is responsible for the additional registration costs associated with the two-day conference.
- Organizations may apply for more than one award.

HOTEL ASSISTANCE AWARDS
- Hotel Assistance Awards are available for Thursday, October 31, 2019 and Friday, November 1, 2019 in Ogden, UT for individuals attending the conference.
- Priority will be given to organizations more than 90 miles from the conference venue.
- If an award is received, the organization will be responsible for reserving the hotel room and paying in full all room costs, taxes, fees, and other charges directly to the hotel. After the conference, the organization will be reimbursed for hotel accommodations up to $75 per award. The remaining cost of the hotel room, if any, will be the responsibility of the organization and will not be reimbursed.
- Hotel Awards are intended for double occupancy rooms.
- Organizations may apply for more than one award.

AWARD TERMS AND CONDITIONS
- Completing this form does not register or reserve space for individuals attending the conference.
- Completing this form does not reserve hotel accommodations.
- Professional Development Awards will be awarded in the form of a discount code which will remove $100 at the time of registration. **Please wait to register individuals for the conference until you receive notification.**
- Hotel Assistance Awards will be reimbursed up to $75 per award after the conference.
- Organizations will not be reimbursed for Hotel Award(s) if required documentation is missing, which will be outlined in the notification email.
- In the event that an organization has a large award request, the number may be reduced.

Please contact Emilie and Amberley with any questions at professionallearning@utahafterschool.org.

**Only one application accepted per organization**
If multiple programs operate under one organization, please coordinate with all programs and submit only ONE APPLICATION for all Professional Development Awards and Hotel Assistance Awards the organization as a whole is requesting.
Organization Name *
Your answer
Organization Address *
Include a complete address for the organization, including street, city and zip code
Your answer
First and Last Name of Main Contact *
All correspondence regarding Awards will be sent to this individual.
Your answer
Email Address *
All correspondence regarding Awards will be sent to this email address.
Your answer
Phone Number *
Your answer
How many two-day conference registration awards is the organization requesting? *
This should include the total number of Professional Development Awards the organization as a whole is requesting.
Your answer
How many hotel awards is the organization requesting? *
One "hotel award" is equal to one night in one room. If one individual is staying both Thursday and Friday night, then two hotel awards would be requested.
Your answer
I have read and agree to the terms and conditions outlined above. *
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