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Home
Board Leadership Scholarship
Name
First
Middle
Last
Your Contact Information
Company
Email
Phone
Address
Address 2
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP/Postal Code
Ethnicity
Black
Hispanic or Latino
White
American Indian or Alaskan Native
Asian
Native Hawaiian or Pacific Islander
Do you currently serve on a board?
Yes
No
Which boards do you serve on?
How many years have you served on a board?
Do you hold a leadership position?
Yes
No
Which position(s) do you hold?
Why is participating in Board Leadership Training important to you?
How will you use the information learned to strengthen the organization what you serve and/or the community in which you live or work?
If you do not receive this scholarship do you have other means to process payment?
Yes
No
Are you interested in a full ($75) or partial ($35) scholarship?
Full
Partial
Either
Please note that a single organization is eligible for a maximum of $75 of scholarship per session.
