Complete the questions below to be considered for a scholarship for workshop registration fees only for the The 4-Step Roadmap for Reaching & Teaching Students of All Abilities: The Power of T.H.E. P.A.C.T. being held on June 19th, 2017 at the Oregon Garden Resort in Silverton, OR. 

* 1. Name:

* 2. Position or Title:

* 3. School Name and District:

* 4. Phone:

* 5. Email:

* 6. Primary age group that you work with:

* 7. Are you a member of an Assistive Technology team in your school or district?

* 8. How will you share the knowledge gained from T.H.E.P.A.C.T. workshop in your school or district?

* 9. If you could have any superpower, which would it be?

Thank you for applying for T.H.E.P.A.C.T Scholarship, sponsored by the Oregon Technology Access Program (OTAP).  After reviewing your submission, you will be contacted with acceptance details.