Name (As wanted on NameTag):

Address:

Phone:

Email Address:

Are you also applying for a Scholarship? (Yes or No)
* Deadline for scholarship applications is 08/31/08.

Scholarship Includes:
One night lodging - pre-paid at the Owyhee Plaza Hotel
Travel expenses upon completion of State Reimbursement Form and W-9 (Forms will be provided)
a. Air Fare Travel- Receipt required - Reimbursement not to exceed $350.00
b. Vehicle Travel - State Allotted mileage - Reimbursement not to exceed $350.00



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