Scholarship Application - FPRA Ocala Chapter | Florida Public Relations Association

To be considered for an FPRA Ocala Chapter scholarship to annual conference, members must apply for the chapter’s annual conference scholarship no later than 5 p.m. on Friday, June 24, 2016. Please complete the online application form below.

The chapter may award partial scholarships in lieu of one full scholarship. All awards are contingent on availability of funds.

Please complete the following information:

Fieldset

Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Job Responsibilities *
BRIEFLY DESCRIBE YOUR JOB RESPONSIBILITIES:
Chapter Involvement *
BRIEFLY DESCRIBE YOUR CHAPTER INVOLVEMENT/ACTIVITIES:
Chapter Leadership *
CHAPTER OFFICES HELD/COMMITTEES:
Past Conferences *HOW MANY FPRA ANNUAL CONFERENCES HAVE YOU ATTENDED IN THE PAST?
Need *
PLEASE EXPLAIN YOUR FINANCIAL NEED FOR A SCHOLARSHIP FOR ANNUAL CONFERENCE:
Personal Benefits *
PLEASE EXPLAIN HOW ATTENDING ANNUAL CONFERENCE WILL BENEFIT YOU PROFESSIONALLY:
Employer/Client Benefits *
PLEASE EXPLAIN HOW ATTENDING ANNUAL CONFERENCE WILL BENEFIT YOUR EMPLOYER/CLIENTS:
Other Resources *
DO YOU HAVE FINANCIAL ASSISTANCE TO ATTEND ANNUAL CONFERENCE FROM ANY OTHER SOURCES SUCH AS EMPLOYER ASSISTANCE?YesNo
Lodging/Meals *
ARE YOU ABLE TO FINANCIALLY MANAGE/ARRANGE LODGING AND OTHER RELATED EXPENSES FOR ANNUAL CONFERENCE IF YOU RECEIVE A SCHOLARSHIP FOR REGISTRATION?YesNo
Attendance *
I understand that if I receive an Ocala Chapter Scholarship for Annual Conference registration, I will attend and that the scholarship covers the conference registration fee (in full or part). Scholarship winners are responsible for lodging, transportation, parking and meals not included as part of conference registration.YesNo
Blog Team and Newsletter
I understand that if I receive an Ocala Chapter Scholarship for Annual Conference registration, I will be willing to serve on the blog team and write an article about conference for the FPRA Ocala newsletter.YesI would rather not
Additional Info
IS THERE ANY OTHER INFORMATION YOU WOULD LIKE TO INCLUDE FOR CONSIDERATION IN THIS SCHOLARSHIP APPLICATION?
I understand that if I receive an Ocala Chapter Scholarship for Annual Conference registration, I will attend and that the scholarship covers the conference registration fee (in full or part). Lodging, food outside of meals included in the regular conference registration, scholarship fundraiser and all other related expenses are my responsibility. I further understand that, if selected, I shall receive no monies directly but that my registration for Annual Conference will be paid on my behalf by the Ocala Chapter.
By choosing to submit, you are signing that you understand the statement above and all answers are true and accurate.
Date

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