SOUTHEAST BRANCH – PROFESSIONAL DEVELOPMENT
SCHOLARSHIP APPLICATION
Name of Applicant___________________________ APWA Member No. __________
Address____________________________________Phone Number_____________
Hold long a member of APWA: _______ years
EMPLOYMENT INFORMATION
Present Employer_____________________________________________________
Present Positon______________________________________________________
INTENDED USE OF PROFESSIONAL DEVELOPMENT SCHOLARSHIP
Training/Activity:_____________________________________________________
Date(s):____________________________________________________________
Location: ___________________________________________________________
Cost of training/activity: _______________________________________________
Amount of Professional Development Scholarship requested $_________
Will any portion of the cost be paid by another entity? YES ____ NO ____
If so who and how much? ______________________________________________
How training/activity is directly related to applicant’s current job or areas of responsibilities.
___________________________________________________________
___________________________________________________________
I hereby certify the foregoing information is true and correct and agree if selected as a recipient of the Professional Development Scholarship, the cash received will be used for the purpose defined above. If the cash awarded me is not used for said purpose, it will be returned to the Southeast Branch.
Signature of Applicant_____________________________Date_________________________
Mail completed application to:
SOUTHEAST BRANCH, TPWA
AMERICAN PUBLIC WORKS ASSOCIATION
PROFESSIONAL DEVELOPMENT SCHOLARSHIP APPLICATION
ATTN: SCHOLARSHIP COMMITTEE
P.O. BOX 2825
HOUSTON, TX 77252-2825
AN ATLAS OF TRAFFICKING IN SOUTHEAST ASIA THE ILLEGAL
APPLICATION FORMAT SOUTHEAST MISSOURI REGIONAL PLANNING AND ECONOMICAL DEVELOPMENT
ARGENTINA A LARGE COUNTRY IN SOUTHEASTERN SOUTH AMERICA
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