2009 Scholarship Application :: Annual Conference

Scholarship Application

Apply for financial assistance to attend conference. Items in Bold are required for processing.

Applicants will be notified by email as to whether they will receive financial assistance to attend the conference by 2/26/2009. Please do not pay for the conference until you hear whether you will receive financial assistance.

Deadline: February 16, 2009.

• Conference Home

	About the Scholarship Applicant
Name:
Street Address:
City:
State:
Zipcode:
Phone:
Email:
If you are participating in the conference, please list the name of your session and/or presentation:
Your primary affiliation:
Share Room: Are you planning to share a room at the conference with another scholarship applicant?	Yes No
Share Ride: Are you planning to share a ride to the conference with another scholarship applicant?	Yes No
	Scholarship Funds Requested
Have you received funds in the past?	Yes No
Conference registration: Ex: $100 for students or $150 for non-students
	Group Information If you are part of a group that has other scholarship applicants, please fill out this section. Students from a college or university that have multiple student scholarship applicants will qualify as a group.
Group Name:
Group Coordinator:
Group Address:
Group Phone:
Group Email:

Appalachian Studies Association
Mary K. Thomas, Office Manager
Marshall University
One John Marshall Drive
Huntington, WV 25755

Phone: 304-696-2904
Contact