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AWSA 2021 Conference Scholarship Application

First Name:

Last Name:

Cell Number:

Email:

Address Line 1:

Address Line 2:

City:

State/Province:

Country:

Zip/Postal Code:

This scholarship is for financial need. Check \'yes\' if this is your situation. Note scholarship recipients are kept confidential. Yes No, I will go to awsafun.com to pay and register.

Are you a member in good standing of AWSA Professional or AWSA Protege? Yes No

If your membership dues are not up to date, do you need a dues scholarship this year as well? Yes No, it\'s covered.

Have you ever received a Cecil Murphey Scholarship in the past? No Yes

Other Comments:

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