Willam Van Cleave Scholarship Application

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Please read the scholarship requirements before filling out this form

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? *

Yes

Name of Program you wish to attend *

Date of Program *

YYYY

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. *

Yes

Submit

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