19th Annual Ohio Problem Gambling Conference Scholarship Application

In order to be eligible for travel assistance, you must meet all of the following criteria:

1.     Be in recovery, or have a family member in recovery, from gambling.
2.     Attend the Ohio Problem Gambling Conference (February 24, 2022) in Lewis Center, Ohio.
3.     Limit reimbursement request to an amount up to $500.
4.     Expenses must not be reimbursable by another source.

Preference will be given based on:
·      The date at which the application is received (the sooner the better)
·      Geographical diversity
·      Contribution to the recovery community
·      Availability of funds

Applicants will receive notification whether or not their application has been accepted as soon as possible. Questions can be directed to Cory Brown at CBrown@PGNOhio.org or 614.750.9899 ext. 104.

Question Title

* 1. Contact Information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

19th Annual Ohio Problem Gambling Conference Scholarship Application

Question Title

* 1. Contact Information

Question Title

* 2. Please provide information as to your need and desire for this scholarship.

Question Title

* 3. How have you contributed to the gambling recovery community? Or how do you plan to contribute?

Question Title

* 4. How will this opportunity advance your contribution to your community?

Question Title

* 5. What additional information would you like to share with the reviewers?