Page Title

Your First and Last Name:

Who are you:
(choose one)

Type of Scholarship Request:
Choose one)

Name of School:

Your Email Address:

Your Home Address
City
Zip Code:

County you live in:

Phone Number + Area Code:

Cell Phone + Area Code:

Please briefly tell us why you want to attend the conference:

Helping Families & Professionals Connect with Information, Training and Resource Since 1969

Conference Scholarships Application For Teachers

You will see a copy of your application after you press then Submit button,
you can then use your back button to return to our website.

Please give us two days to process your application and send an email reply.

We have a limited number of full and reduced rate scholarships to assist teachers whose school does not pay
for or reimburse them for the registration fee. Teachers are asked first to make a request for funding through
their school system and be denied before applying for a scholarship. When we run out of full scholarships, we
will offer you the choice to register at the reduced scholarship rate, but if you can afford to pay the $85 reduced
registration rate, please apply for the reduced rate scholarship level so we can help as many teachers as
possible.             WE ARE SORRY, BUT ALL OF THE FULL SCHOLARSHIPS HAVE BEEN GIVEN.
                           ONLY REDUCED RATE SCHOLARSHIPS ARE NOW AVAILABLE.

A limit of one full scholarship and one reduced rate scholarship per school district may be awarded.
To apply for a scholarship, complete the information below and we will email you with confirmation of your request.
This information will help us complete our report to the grant provider. Your name, address or identifiable
information will NOT be released or used in our report.
                            Please Complete The Entire Application Before Submitting.

Thanks to a grant from the Eli Lily Foundation, we are able to offer scholarships to
Indiana educators who teach in the special education or regular education classrooms.