2019 Ohio Housing Conference Scholarship Application

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* 1. Please fill out the following information:

Name

Organization

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Are you a full-time student?

Yes

If yes, please enter the school you attend and your field of study.

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* 3. Is your organization a non-profit?

Yes

If yes, please enter the area(s) served and the services provided.

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* 4. Comments (optional):

Click on the submit button below to submit your responses. Please note that once you click the submit button, you will not be able to go back and change your responses.