WSA/WSTC Event Scholarship Form - Birth to Three Institute/Summer Institute

WSA/WSTC has established a limited scholarship program to enable staff and parents to attend training institutes and conferences.

Here’s the information you need to know to apply:

• Each scholarship will be a maximum of $250. If your scholarship is approved, you'll receive an email with a code to register.
• Your program must be a member of WSA/WSTC to be eligible.
• Recipients will be selected based on program need and application responses.

Question Title

* 1. Event:

Birth to Three Institute

Summer Institute

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* 2. Contact info

Name

Organization

Organization Address

Organization Address 2

City/Town

State

ZIP/Postal Code

My email address

Email address, if any, who should also be contacted

Phone Number

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* 3. I am a

Parent/Guardian

Staffperson

Director

Other (please specify)

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* 4. How will you use what you have learned from the conference in your own classroom/program/community?

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* 5. What are your professional development goals, and how does this fit into them?

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* 6. Anything else you'd like us to know?

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* 7. You must have the support of your program to attend this event - please let us know who has approved this application:

Name of Approving Director, Supervisor, Parent coordinator, etc.

Thank you! You'll hear from us soon. If you have any questions, please contact Katy, katy@wsaheadstarteceap.com, 206.291.2021 (cell)