H-PEA Scholarship Application

Thank you for your interest in attending this year’s H-PEA Conference. Please fill out this application form completely to be considered for a scholarship. Please note that all scholarship recipients must either make a presentation or volunteer at the workshop/conference. Volunteer opportunities include assisting with registration or audiovisual/tech support for the workshop or conference. 

The deadline to submit the application is August 22, 2018. You will be notified by the first week of September whether you have been awarded a scholarship.

First Name

Question Title

* 1. First Name

Last Name

Question Title

* 2. Last Name

Email Address

Question Title

* 3. Email Address

Phone Number

Question Title

* 4. Phone Number

I certify that I am a full-time graduate student at an accredited institution.

Question Title

* 5. I certify that I am a full-time graduate student at an accredited institution.

Please provide the name of a faculty member or counselor who can verify your full-time, graduate status.

Question Title

* 6. Please provide the name of a faculty member or counselor who can verify your full-time, graduate status.

Please provide a contact email address for your faculty member or counselor.

Question Title

* 7. Please provide a contact email address for your faculty member or counselor.

T