2020 Symposium in the Spring Scholarship

Answer the following questions and submit your responses to apply for the 2020 Symposium in the Spring Scholarship. Thank you for your responses.

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* 1. Please Complete:

Name

Address

Address 2

City/Town

State/Providence

Zip/Postal Code

Email Address

Phone Number

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* 2. Title

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* 3. Organization

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* 4. How will your attendance at the 2020 Symposium in the Spring benefit your community?

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* 5. How will your attendance at the 2020 Symposium in the Spring benefit your department?

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* 6. How will you share the information you gain at the 2020 Symposium in the Spring with your colleagues?

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* 7. Are you a member of the IAFC?

Yes

No

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* 8. Are you a member of the VCOS?

Yes

No

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* 9. Type of Department

Volunteer

Career

Combination

Other (please specify)

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* 10. Have you attended a VCOS Conference before (Symposium in the Sun or Symposium in the West)?

Yes

No