Founded in Memory of Samuel T. Orton Scholarship Application October 2014 “RAVE-O Training” The Iowa Branch of IDA is offering a limited number of scholarships to individuals in education or another related field. The scholarship will be applied to the training registration fee only. Recipient will be required to register for training immediately upon notification of the scholarship award. The training date is: October 17-18, 2014. See deadlines below. Name__________________________________________________Date______________ Type of Teacher/ Educator ________________________________________________ Home Address ____________________________________________________________ City/State/Zip ____________________________________________________________ Home Phone Number ______________________ Work Number ________________ Email Address ____________________________________________________________ School/District/Home School Affiliation ____________________________________ Name of Educational Institution __________________________________________ Are you a current IDA member? _____Yes ______No Have you applied for any other financial assistance to attend this training? ______Yes ______ No If yes, where ____________________________ Have you previously received a scholarship from the Iowa Branch of IDA?____ Please tell us briefly why you are interested in attending our training and how it will help you. Please email or mail this application by September 22, 2014 to: Scholarship Application for Teachers International Dyslexia Association – Iowa Branch PO Box, 11188, Cedar Rapids, IA 52410-1188 E-mail: [email protected] The committee will notify you by 9/29/14 and training registration must be postmarked by 10/13/14. P.O. Box 11188 Cedar Rapids, IA 52410-1188
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