Mark Pedersen Memorial General Assembly Scholarship
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Name *
Date
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Email *
Phone *
Address *
Age
Other family members attending/participating
Are you members of FUSIT? (Have you signed the book)
Why do you want to attend the UUA General Assembly?
Are you attending in person or online? *
Have you attended UUA General Assembly in the past? If Yes, what years?
What other funding are you seeking in order to attend UUA General Assembly (scholarships through the UUA, volunteering, etc.)?
Will you attend or participate if you do not receive FUSIT funding?
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