CUPA-HR
Scholarship/Grant
Request
Name
___________________________ Date _________________________
Institution _______________________
Request for:
________ Regional Conference
________ Professional Development
How will this
request help you with your career goals?
________________________________________________________________________
Describe your
CUPA-HR participation (attend meetings; board member, etc):
How would you
want to be more involved with future CUPA-HR endeavors?
When
completed, send to the
Board Member
Signature
___________________________ Date
____________________
FOR COMPLETION BY REVIEW COMMITTEE
Approved Amount
_______________ Disapproved Reason ______________________________