The International Assembly of Social Educators
2008 Travel Grant
Please Type.
Name:
Street/City:
State/Province:
Country:
Zip/Postal Code:
Day Phone:
Evening Phone:
Fax:
E-mail:
Institution Affiliation:
International Assembly Membership Number:
How many years have you been a member of the International Assembly?
How many International Assembly/NCSS annual conferences have you attended in the last five years?
……………………………………………………………………………………………
***Answer the following on a separate page. Responses should be a paragraph or two each. Please type responses.
I understand that:
I certify that all statements made above are true and correct.
___________________________________________
APPLICANT SIGNATURE (Please sign in blue ink).
Please send the completed application to:
John Myers, Travel Grant Administrator, International Assembly myersjp@education.pitt.edu.
***GRANT APPLICATION POSTMARK DEADLINE: June 30, 2008 No extensions or waivers of grant deadlines will be allowed.
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The International Assembly of Social Educators reserves the right to review, accept or reject any and all applications without penalty and further reserves the right to pursue legal recourse in the case of fraudulent application for funds. |