Scholarship Application

The 2017 Leahy Center Environmental Summit invites attendees to apply for a limited number of travel scholarships for the upcoming summit.

Purpose: The Travel Scholarship was instituted to provide support for individuals traveling to the 2017 Leahy Center Environmental Summit.

Criteria: Applicants must be traveling to the summit from a distance of over 50 miles and attend BOTH days of the summit. One application form with an original signature must be submitted 10 days prior to the date of travel in order to be eligible. Funding is limited for travel scholarships, so scholarships will be awarded first-come, first served basis.

Covered Costs: Travel scholarships will cover the following items: transportation to/from the meeting (mileage is $0.53 per mile), lodging, and ground transportation while in attendance at the conference. The maximum amount available per scholarship is $250.00.

Selection: Applicants will receive notification within two weeks after submission. Scholarships will be awarded as reimbursements. Following the conference, you must submit a reimbursement to receive funds. 

* 1. Full name

* 2. Address

* 3. City

* 4. State

* 5. Zip code

* 6. Phone

* 7. E-mail

* 8. What summit team are you participating on? If none, please list your employer or affiliation.

* 9. How many miles will you be traveling to the summit?

* 10. Are you attending both days of the Summit?