Scholarship application

Scholarship Application

 Leader Education Weekend

May 18-19, 2013 Cherry Creek, Colorado

Featuring: Diana West, BA, IBCLC

Please copy this questions into a word document, fill and email this form to iwant2come@llloflakewood.org by April 30th.

DEADELINE EXTENDED TO MAY 3rd

 

Name__________________________________________________

Address_________________________________________________

Telephone Number _________________________________________

Email___________________________________________________

Employer/School/Organization_________________________________

Please share briefly

1) Why you would like to come to this event?

2) If you could do one thing to encourage a breastfeeding mother, What would you do?

Do you need full or partial scholarship? ___________

If partial, how much are you able to afford? __________

Would you like to come both days? ___ Just Saturday___ Just Sunday____

How did you learn about the event? _________________

Would you be able to help us as a volunteer the day of the event? ___________

 

Thank you very much!

If you have any questions regarding this application email Iwant2come@llloflakewood.org

 

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