Professional Development Scholarship Application for ICPC Members

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Iowa Conservation and Preservation Consortium (ICPC) is offering up to $500 reimbursement scholarships. Applications will be reviewed on a rolling basis. Scholarship funds will be awarded on a first-come, first-serve basis.

Eligible applicants must be a member of ICPC or be a part of an organization that has an institutional membership, either as an employee or as a volunteer. Applicants need to demonstrate that the information learned will be utilized to help preserve the history and culture of Iowa. The scholarship winners must demonstrate that the classes taken will be utilized within the state of Iowa. Each winner is expected to provide a document, tip sheet, or to present at a future ICPC event.

Application will be reviewed and awarded on a 1st come-1st awarded basis. Applicants will be notified when applications have been reviewed. For more information please contact us at: iowa.conserveandpreserve@gmail.com

Email *

First and Last Name (Preferred name if applicable)
*

Address *

What is the best phone number to reach you?
*

Institutional Affiliation *

Job Title *

Tell us more about your educational background. *

Tell us more about the course that you are wanting? Who is the sponsor of the courses? Who is the instructor? What is the course covering?
*

How will this class help you in your job or educational path? *

How will your attendance at this course benefit you and your institution?
*

Are you willing to share the information you learn with ICPC and prepare a document that can be added to our website for other ICPC members? (We do credit you as the contributor of the information when published)

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of St. Ambrose University. Report Abuse

Forms