Complete the following application form (please print legibly!).
Attach the following to completed application form:
Send completed application (with attachments, if applicable) to the current PNWSGNA Scholarship Chair (contact information located on www.pnwsgna.org).
I understand that, if I receive a PNWSGNA Fall Conference Scholarship, I am required to submit an article to be printed in the PNWSGNA newsletter, “The Lightsource,” within 30 days following the date of the course. I agree to help out at the Fall Conference, as directed by the PNWSGNA President, and will share information from this program with my colleagues. I understand that if I do not attend the course, I will be disqualified from receiving future PNWSGNA Fall Conference Scholarships. I attest that all information provided in this application is true and accurate to the best of my knowledge and that I have met eligibility criteria for this scholarship.