Afterschool Conference Rural Scholarships
If your program is more than 60 miles from Salem and in a community under 30,000, you are eligible to receive $150 reimbursement to help cover costs associated with attending the conference (registration, mileage, hotel, etc). Please fill out the form below if you are interested and contact bethany.thramer@oregonask.org with any questions
Sign in to Google to save your progress. Learn more
Name *
Organization *
Address (Program or Personal) *
Email *
Are you interested in registering anyone else from your program? *
If yes, please list name and email for other participants
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of OregonASK.

Does this form look suspicious? Report

Google Forms