ALFN November 2014 Dallas TE@CH Training Scholarship Application

Please complete this brief application if you require a registration fee waiver in order to attend this event. All applicants will be notified within 72 hours if approved and will be provided a discount code to register at no cost.

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* 1. Contact Information

First Name:

Last Name:

Company:

Job Title:

Address

State:

City:

ZIP Code:

Email Address:

Phone Number:

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* 2. Supervisors Contact Information (individual who approves your attendance to these types of events)

First Name:

Last Name:

Job Title:

Email Address:

Phone Number:

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* 3. What work do you currently do with your organization?

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* 4. What is your goal in attending this TE@CH program (what you would like to get out of your attendance)?

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* 5. Describe why you need financial assistance in order to attend?

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* 6. Would you be able to pay to attend this event in the future if priced similarly? If not, please describe further below.

Yes

Unsure

Other (please specify)

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* 7. How did you hear about the ALFN Servicer Scholarship Program?

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* 8. Are you a servicing manager, executive (or general counsel) who is a decision maker or decision influencer?

Yes

Other (please specify)

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* 9. Are you a servicing manager, executive (or general counsel) who has the ability to refer work or influence where files are sent to ALFN members?

Yes

Other (please specify)

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* 10. Do you have any current file volume to refer in any particular state(s) and can meet with ALFN members at the TE@CH event to discuss opportunities?

Yes

If Yes, please indicate what types of files and state(s)

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* 11. Have you participated in any of the past ALFN functions? Check all that apply.

ANSWERS - Annual Conference

Advocacy Day in DC

Webinars

TE@CH Onsite Regional Servicer Training (Jacksonville, Dallas, Mt. Laurel)

Onsite Servicer Training at Servicers Location

ALFN Committees, Task Forces or Boards

None of the above

Other (please specify)

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* 12. Do you agree to be available to the ALFN members to network during the event, including the sessions, lunch and cocktail reception?

Yes

Other (please specify)