2010 CLC Scholarships - Metros 1-4

1. Scholarship Application - CLC

To enhance learning opportunities for United Ways in these tough economic times and defray some of the expenses for registration of the Community Leaders Conference, scholarships are being offered for $400 to cover half the registration fee for United Way volunteers.

Scholarships are limited to one per United Way and your United Way must be a member in good standing with United Way Worldwide. Your application will be checked by the Membership Accountability Team and you will receive email confirmation after the application is approved. Please register for the conference and reserve your hotel room before the February 23 deadline. The $400 credit will be applied after your registration (redeposited in flex credit account or refunded to credit card).

Please complete the form below to apply. Thank you for making the time to develop the skills that will help you advance the common good in your community.

Cheryl Hubbard
Sr. Director, National Events
United Way Worldwide

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1. Volunteer's First Name

Volunteer's First Name

*
2. Volunteer's Last Name

Volunteer's Last Name

*
3. Local United Way CEO name

Local United Way CEO name

*
4. United Way name

United Way name

*
5. City

City

6. State (If outside the U.S., type your country in #6 below)

State (If outside the U.S., type your country in #6 below)

7. Country

Country

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8. What is your United Way's Metro Size?

What is your United Way's Metro Size?

*
9. Email address

Email address

*
10. United Way phone #

United Way phone #

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11. Please read the following and select the drop down menu option below to certify that you have read it:

I certify that I am a United Way volunteer. I understand that my United Way is limited to one scholarship. I certify that our United Way is a member in good standing with United Way Worldwide.

I also acknowledge that the scholarship is for $400 to be applied toward my registration fee for the Community Leaders Conference, March 18-20, 2010.

Please read the following and select the drop down menu option below to certify that you have read it: I certify that I am a United Way volunteer. I understand that my United Way is limited to one scholarship. I certify that our United Way is a member in good standing with United Way Worldwide. I also acknowledge that the scholarship is for $400 to be applied toward my registration fee for the Community Leaders Conference, March 18-20, 2010.

2010 CLC Scholarships - Metros 1-4

1. Scholarship Application - CLC

*1. Volunteer's First Name

*2. Volunteer's Last Name

*3. Local United Way CEO name

*4. United Way name

*5. City