30th Annual School's Out, Make It Count Scholarship Application
Conference Scholarships are awarded based on demonstration of need. Complete the request form by August 15th to enter. Scholarship award winners will be notified by or on September 1st, 2022.
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Email *
Your Name: *
Your email address: *
The name of your school, program, or organization:
School, program or organization mailing address (be sure to include the city and zip code). *
Your job title/position *
Do you work for a youth/afterschool program or are you an educator in a classroom? *
What days does your program operate? *
 Hours of Operation (example M-F am-6pm, weekends 9am-4pm) *
The activities your program provides to youth (check all that apply) *
The ages served by your program (ages of youth) *
The number of children/youth served by your program *
To be eligible for a scholarship the following items are required of your program (checkmark all that are completed) *
Have you attended the Schools Out, Make It Count conference in past years? (If yes, please list years) *
Has the School/Program/Organization attended the School's Out, Make It Count Conference in years past, but not this specific attendee? If so list the year(s) the School/Program/Organization has attended the conference
Please describe your program's primary source(s) of staff professional development (list which organizations you receive training and workshops from for your staff) *
Why are you applying for a scholarship? *
I am applying to cover: *
I am applying for a scholarship to cover additional expenses related to attending the conference. List the expense, then list how much the expense costs. (i.e. hotel room for 1 night $150). Note: Assistance with hotel room expenses is only awarded to those who travel more than two and a half hours.
I understand and agree to the Terms and Conditions of receiving a scholarship: Individuals or organizations that are selected and choose to accept scholarship assistance  will be required to sign a Memo of Understanding (MOU). The MOU will indicate 1) the dollar value of scholarship assistance, 2) the individual/organization's intent to utilize 100% of the offered scholarship, and 3) the date by which the individual/organization must provide AzCASE with a notice of cancellation in order to avoid liability for unused registrations or scholarship funds. All scholarship winners will be expected to volunteer for a work shift at the conference such as, but not limited to, check-in table assistant, room assistant, or lunch assistant. Volunteer opportunities will be provided closer to the date of the event. Not all scholarships will be paid prior to conference. *
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