2020 VFN Annual Conference - Scholarship Request Form Question Title * 1. Personal Information Name * Address * Address 2 City/Town * State * ZIP Code * Email Address * Phone Number * Question Title * 2. Are you a parent or guardian of a child (of any age) with special needs? Yes No No, but I am a family member of a child (of any age) with special needs. Other (please specify) Question Title * 3. If "yes", how old is your child? Question Title * 4. Are you a refugee, immigrant, or other New American? Yes No Question Title * 5. Which workshop date and location do you plan to attend? Saturday, March 21, 10 am - 2 pm, Holiday Inn Mount Ascutney in Brownsville Thursday, April 2, 8:30 am - 1 pm, Delta Hotel by Marriott in South Burlington New American Focused Event: Saturday, April 4, 9 am - Noon, Old North End Community Center Event Hall in Burlington Tuesday, April 7 from 4 pm - 8 pm, East Side Restaurant in Newport Question Title * 6. Why do you feel it is important for you to attend this conference? Please do not register for the conference at this time. Once approved, you will be contacted by a VFN staff member with a code that will allow you to register at without cost. Thank you so much! Please feel free to contact Janice Sabett at janice.sabett@vtfn.org or 802-876-5315, ext. 218 with any questions. Done