HAIS Scholarships
Complete this form to apply for both Professional Development and Travel (Neighbor Island Schools only) Scholarships. Full Member schools can apply for a maximum of 2 Travel and 3 Professional Development Scholarships each year.

Please contact Deanna D'Olier, at ddolier@hais.us, with any questions.

School Name *
Your answer
Name of Person Completing This Form *
Your answer
Job Title *
Your answer
Email *
Your answer
Telephone Number *
Your answer
Preferred Mailing Address *
Your answer
State/Province *
Your answer
City *
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Zip/Postal Code *
Your answer
Please indicate the name of the HAIS event you would like to attend: *
Your answer
Number of Registrations Requested (max. 3 per year):
Number of Travel Scholarships Requested -Neighbor Island Schools Only (max. 2 per year):
Signature (Insert or type in italics) *
Your answer
Date
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