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Scholarship Application Scholarships are provided through the generous support of sponsoring institutions of the Gulf-South Summit. Deadline: Dec. 10th, 2010, 5 p.m. Email form to Betsy Hart, firstname.lastname@example.org. The Gulf-South Summit is offering conference scholarships in the form of hotel accommodations and/or registration. The Gulf-South Summit Scholarship Committee, with the approval of the conference coordinator, is responsible for deciding who receives scholarships and how much is awarded. Scholarship recipients will receive instructions for registering and reserving hotel rooms with the assistance of the Conference Coordinator. Please type or print Name of applicant: Address: Institution or Organization: Department/Office: Phone: Email: Fax: Indicate if you are: _____ Faculty _____ Staff/Administrator _____ Student _____ Community Partner Are you leading or assisting with a conference session? _____ Yes _____ No Briefly describe how you are involved in service-learning and/or civic engagement. Indicate the amount you are requesting: nd Room Fee Waiver for March 2 @ $129 rd Room Fee Waiver for March 3 @ $129 Registration Fee Waiver (Regular: $225 / Student or Partner: $175 / Participant from Sponsoring Institution: $200) Total Request Please explain briefly (limit to 200 words) why you are requesting a scholarship to attend the Gulf-South Summit (for example, your interests in service-learning, new to the field, scholarly pursuit, financial need, impact from conference expected for you, your program, institution, curriculum, community setting, or affiliation with existing programs).
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"March 25-27, 2009"Please download to view full document