Willam Van Cleave Scholarship Application
Please read the scholarship requirements before filling out this form 
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First and Last Name *
Name of School and District *
Current Position  *
IDA Member number /expiration date *
Does your school offer professional development funds for teachers? *
Name of Program you wish to attend *
Date of Program *
Briefly describe how attending this conference will enhance your current position.  *
I have read the requirements and understand I will be reimbursed for the amount of the scholarship after receipts have been submitted confirming attendance for the entire program.  *
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