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Holtshopple Scholarship

For Members

Each year a complimentary registration to WSPRA's Annual Fall Conference will be given in
Allan Holtshopple's memory.

Criteria:

Applications must be received no later than Thursday, Oct. 9, 2008 in the WSPRA office.

Fields marked with an asterisk (*) are required.

Name:

Please enter your name.

Title:

Invalid Input

District/Organization:

Please enter district/organization name.

Address:

Please enter address.

Invalid Input

City:

Please enter a city.

State:

Invalid Input

ZIP:

Please enter a valid ZIP code.

Telephone (Business):

(xxx-xxx-xxxx)

Invalid Input

Telephone (Home):

* (xxx-xxx-xxxx)

Please enter a valid telephone number.

E-mail Address:

Please enter a valid email address.

List your community involvement/service (organizations and other volunteer activities). *

Please enter community involvement/service.

Reflect on one successful PR project during the last year (what made it successful). *

Please enter PR project.

Please enter the security code:

Please enter a valid security code.