ANCHASL Continuing Education Award: MAC 2019

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Please complete the following application to apply for a scholarship to attend the MAC/MLA 2019 Annual Meeting, which will be held October 5-7, 2019 at the Millennium Hotel in Durham, NC. Award recipients will be required to submit a brief report on their experiences via a form.

The deadline to apply is Tuesday, August 20.

Are you currently a member of ANCHASL? *

Membership is required to be eligible for an award; however, if you are not currently a member, you may join now. ANCHASL membership information and an online application link are available here: http://www.anchasl.org/member.shtml

Yes

Joining now

What are your estimated total expenses for attending MAC 2019? *

Estimates may include registration, CE fees, meals, lodging, and transportation.

What is the distance (one way, in miles) that you will be traveling to attend the meeting? *

Please provide the distance from your current place of residence and the meeting.

Applicant Contact Information *

Name, Institution, Mailing Address, Telephone, Email

If you are currently employed, please describe your current position.

Institution, Start Date of Employment (Month/Year), Current Job Title

If you are a student applicant, please provide the following details about your current program of study.

School, Field of Study, Degree Pursued, Expected Date of Graduation

Please provide a brief (no more than one or two paragraphs) statement explaining how you would expect to benefit from receiving an ANCHASL Continuing Education Award. *

Attestation *

I certify that the information I have supplied on this application is true and correct to the best of my knowledge. I understand that any misrepresentation may cause denial or withdrawal of the award. I also acknowledge that ANCHASL may use my name and/or photo for publicity in relation to this award. I understand that failure to attend the meeting will require me to return the award to ANCHASL.

Required

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