1. Scholarship Application

While the Peer Support Summit will be free for Peer Support, Recovery Coaches, and Family Peers to attend (lunch will also be provided free), there are other costs involved in coming to the conference.  Specifically, the cost of the hotel and gas for travel.  Iowa Peer Network may be able to help offset these costs, but we need to know how many people need it in order to budget appropriately.

The deadline for applications is March 24th.

We will contact you on April 3rd to let you know our decision.  

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* 1. Name

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* 2. Email address

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* 3. Phone number

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* 4. What city/town will you be driving from?

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* 5. Are you currently employed, and if so, where do you work?

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* 6. What is your role? (select all that apply)

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* 7. Which days of the conference are you planning to attend?

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* 8. Which of the following are you requesting financial assistance for?  (select all that apply)

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* 9. Will you be able to attend if you don't receive financial assistance?

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* 10. Are you filling this out for yourself, or for a group?

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