Sub Heading Professional Development Scholarship "*" indicates required fields Instructions Read the full announcement carefully Read and initial the Qualifications, Requirements and Consequences sections below Complete all contact information Attach a statement on letterhead in JPG or PDF format Qualifications VCAN member in good standing (excluding Executive Board members and Past Presidents) Must not have attended training on a similar topic within the last three (3) years Must not have been a VCAN scholarship funding recipient within the last three (3) years I meet each of the listed qualifications* I meet each of the listed qualifications. Initials that I meet all qualifications*Requirements Travel, lodging and per diem are the responsibility of the recipient or his/her agency. Within one year of the training end date, the recipient shall commit to one of the following: Develop and present a one-hour (minimum) instructor-led training at a VCAN event Develop and present a two-hour (minimum) webinar training at a VCAN online event Prepare a written summary of the training session(s) attended I understand each of the listed requirements.* I understand each of the listed requirements. Initials that I understand all requirements*Consequences Scholarship recipients who fail to complete the Recipient Requirements shall forfeit their VCAN membership and benefits for the remainder of the current membership term and shall be barred from VCAN membership for the following membership term.I understand the described consequences.* I understand the described consequences. Initials that I understand described Consequences* Name* First Last Job Title*Agency/Department/Organization*Phone*Email* For which scholarship(s) are you applying? If more than one, please rank them in order ofVCAN Spring Symposium Scholarship* 1 2 3 4 VCAN Fall Symposium Scholarship* 1 2 3 4 IACA Annual Training Conference Scholarship* 1 2 3 4 IACA Training Scholarship* 1 2 3 4
