Inclusion Conference Scholarship Application Name * First Name Last Name Email * Provider Agency * What is your position at this provider agency? * Why are you interested in this conference opportunity? * How does your attendance directly tie-in to the Statewide Advocacy Agenda to Improve Part C Services in PA? * How will you share the information learned at this conference and continue the work upon your return? (please give as many examples as you can - these are possible ideas; you aren't committing to anything specific at this time) * Will you be attending the conference if not awarded EIPA funding? * yes no maybe Have you attended a conference in the past via funding from EIPA (IMH, SEL, etc.) * yes no I would like to attend this conference via: * In-Person Virtual No Preference Is your agency wiling to cover costs in excess of the scholarship? * yes no What other thoughts do you have about the importance of this conference as it relates to the context of your work and Early Intervention in PA? (optional) Thank you for your application. EIPA officers will be reviewing applications and you will be notified by March 15, 2025 if you are a recipient of this scholarship. Please reach out with any questions to to eipaexecutive@gmail.com
