Skip to content
2021 Transition Conference: Scholarship Request
With appreciation to Mass Families for sponsoring scholarships for the Transition Conference.
Questions? Contact Julie Coppenrath at
Coppenrath@arcmass.org
.
*
1.
Applicant Information
(Required.)
Name
*
Address
*
Address 2
City/Town
*
State/Province
*
ZIP/Postal Code
*
Email Address
*
Phone Number
*
*
2.
What is the reason for your scholarship request?
(Required.)
*
3.
Which scholarship amount are you requesting?
(Required.)
$50
$25
*
4.
Are you an adult s
ibling of an individual with a disability?
(Required.)
Yes
No