Thank you for your interest in applying for a scholarship to the 2019 California Cruz'n: Site Coordinator Expanded Learning Symposium. Scholarships are intended to ease the financial burden for Site Coordinator travel and attendance at the event. Scholarships will be awarded with the following timeline:

            January 8th : Scholarship application release
            January 25th: Scholarship application closes
            January 30th: Scholarship recipients notified

Following verification of symposium attendance you will be reimbursed within 30 days in selected for scholarship

Only registered attendees are eligible to apply as part of the registration process. Be advised, scholarships are limited and will be distributed at the discretion of the Symposium committee. Your application submission does not guarantee that you will receive a scholarship. Scholarship applicants that are not selected are responsible for all costs associated with their attendance at the Symposium.

If you should have any questions or concerns please contact Troy Selvey at tselvey@afterschoolnetwork.org

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* 1. Name

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* 2. Position

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* 3. Length in current role:

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* 4. Organization

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* 5. Region

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* 6. City traveling from

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* 7. Cell phone number

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* 8. Email address

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* 10. How many staff members from your organization do you anticipate to attend this event?

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* 11. Did you submit a RFP to present at the Expanded Learning Site Coordinator Symposium?

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* 12. Why do you want to attend the Site Coordinator Expanded Learning Symposium?

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* 13. What do you plan to do with the information and knowledge gained at the Site Coordinator Expanded Learning Symposium? 

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