2024 Ohio Problem Gambling Conference: Scholarship & Travel Reimbursement Application

Recovery Scholarship & Travel Reimbursement Application

In order to be eligible for a conference scholarship including travel reimbursement, you must meet all of the following criteria:

1. Be in recovery, or have a family member in recovery, from gambling.
2. Attend the Ohio Problem Gambling Conference (February 15 & 16, 2024) in Lewis Center, Ohio.
3. Limit reimbursement request to an amount up to $750.
4. Expenses must not be reimbursable by another source.

Preference will be given based on:
·      The date at which the application is received (the sooner the better)
·      Geographical diversity
·      Contribution to the recovery community
·      Availability of funds

Applicants will receive notification whether or not their application has been accepted as soon as possible. Questions can be directed to Cecilia Burford at CBurford@PGNOhio.org or 614.750.9899 ext. 108.

Question Title

1. Contact Information (Required.)

Name

Organization (if applicable)

Home/Work Address

City

State

ZIP Code

County

Email Address

Phone Number

Question Title

2. Do you have gambling disorder lived experience? (Required.)

Yes

Question Title

3. Do you have a loved one with a gambling disorder? (Required.)

Yes

2024 Ohio Problem Gambling Conference: Scholarship & Travel Reimbursement Application

Recovery Scholarship & Travel Reimbursement Application

Question Title

1. Contact Information (Required.)

Question Title

2. Do you have gambling disorder lived experience? (Required.)

Question Title

3. Do you have a loved one with a gambling disorder? (Required.)

Question Title

4. Please provide information as to your need and desire for this scholarship. (Required.)

Question Title

5. How have you contributed to the gambling recovery community? Or how do you plan to contribute? (Required.)

Question Title

6. How will this opportunity advance your contribution to your community? (Required.)

Question Title

7. What additional information would you like to share with the reviewers?

2024 Ohio Problem Gambling Conference: Scholarship & Travel Reimbursement Application

Recovery Scholarship & Travel Reimbursement Application

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. Do you have gambling disorder lived experience? (Required.)

Question Title

* 3. Do you have a loved one with a gambling disorder? (Required.)

Question Title

* 4. Please provide information as to your need and desire for this scholarship. (Required.)

Question Title

* 5. How have you contributed to the gambling recovery community? Or how do you plan to contribute? (Required.)

Question Title

* 6. How will this opportunity advance your contribution to your community? (Required.)

Question Title

* 7. What additional information would you like to share with the reviewers?

1. Contact Information (Required.)

2. Do you have gambling disorder lived experience? (Required.)

3. Do you have a loved one with a gambling disorder? (Required.)

4. Please provide information as to your need and desire for this scholarship. (Required.)

5. How have you contributed to the gambling recovery community? Or how do you plan to contribute? (Required.)

6. How will this opportunity advance your contribution to your community? (Required.)

7. What additional information would you like to share with the reviewers?