*At the end of this application please attach documentation from your institution that states they will not cover the specific NEGAP or NAGAP fee that you are planning to use the scholarship money for.*

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* 1. First & Last Name:

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* 2. Institution:

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* 3. Title:

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* 4. I am a current NEGAP member:

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* 5. I am a current NAGAP member:

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* 6. What will you utilize the funds for?

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* 7. Have you presented at a NEGAP or NAGAP event in the past?

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* 8. Would you be willing to help out at a NEGAP event?

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* 9. Would you be willing to present at a NEGAP or NAGAP event in the future?

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* 10. Would you be willing to do a webinar for NEGAP?

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* 11. Please describe your past and future involvement in NEGAP or NAGAP.

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* 12. Why should you receive this scholarship and what will you utilize the funds for?

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* 13. Please upload documentation stating the professional development you are seeking will not be covered by your institution. For example: A copy of an email or memo from your supervisor

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