WICT DC/Baltimore Members in Career Transition Scholarship Application
*Active members & volunteers experiencing a temporary interruption in their employment may apply for this chapter scholarship.*

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Applicant Name *
Applicant Email *
Applicant Phone Number *
Are you currently experiencing an interruption to employment? *
Previous Job Title *
Have you volunteered with the Washington, DC/Baltimore Chapter? (Detail how) *
How active are you in Washington, DC/Baltimore Chapter events? (Detail how) *
How do you plan to be involved in the Chapter in the coming year? *
What level of Membership are you interested in? *
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