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Florida Wildlife Rehabilitators Association Annual Symposium
Scholarship Application
September 23rd - 26th, 2010
Florida FFA Leadership Training Center
Haines City, Florida
Scholarship applicants are required to be a member in good standing of FWRA and actively working or volunteering in the field of wildlife rehabilitation. A full scholarship is valued at $300.00 and includes registration, food and lodging (shared room) to attend the 2010 FWRA annual symposium. Partial scholarships are valued at up to $150.00, up to 3 partial scholarships will be awarded. Scholarships do not include travel expenses or Wednesday night lodging. Application for: (please check all for which you wish to be considered.)
Application for: (please check all you wish to be considered for.)
 
Dr. Herbert W. Kale, II Scholarship (full)
 
Karl Sendler Memorial Scholarship (full)
 
Founder's Scholarship -- in memory of Donna Heindrich (full)
 
FWRA partial scholarship (partial scholarships valued at up to $150.00)
First Name
   Middle    Last Name
Address
Address 2
City
    State     Zip
Phone
   Alternate phone
Email
Volunteer applicant:  
 
Name of rehabilitator working under  
 
Contact information for rehabilitator
 
 
Number of months/years involved in wildlife rehabilitation
 
Types of duties performed as a volunteer
Permitted rehabilitator applicant:  
 
Number of years permitted
 
Total number of years involved in the field
Approximate number of hours per month currently devoted to wildlife rehabilitation
List species currently working with, or expected to be working with in the next year
 
How would attending benefit you and/or the organization/rehabilitator you work with?
 
In the past 3 years have you attended
 
FWRA conference      NWRA conference      IWRC conference
Scholarship selections are partially based on financial need. How have you attempted to obtain funding, or why are you unable to secure funding to cover conference registration?
 
If you are a volunteer, please submit a letter from your permitted rehabilitator confirming application information. Additional information may be requested if needed. Applications that are incomplete, illegible, late, or from individuals with expired memberships will not be considered. Application deadline is April 3, 2010. Scholarships are not assignable, so if you are awarded and unable to attend, please contact FWRA immediately. Scholarships are not assignable, so if you are awarded and unable to attend, please contact FWRA immediately. Please mail completed form to:
FWRA
PO Box 1449
Anna Maria, FL 34216

This form is sent directly to FWRA. Complete the form as follows:
  • Please double check your information above, it must be complete.
  • Click "Send Application" below. That will submit the application and take you to a printable page.
  • Print next page for your reference.
  • Use your BACK button to return here.
 

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Florida Wildlife Rehabilitators Association
PO Box 1449, Anna Maria, Florida 34216