SALGBA 2024 Conference Scholarship Application

STATE & LOCAL GOVERNMENT BENEFITS ASSOCIATION
 

Applicant's Name: *
Applicant's Title: *
Applicant's Employing Entity: *
Applicant's Email Address: *
Applicant's Phone Number: *
State your goals, purpose and expectations in attending this conference. : *
How long have you been a SALGBA member? :
Less than 1 year
1-5 years
5-10 years
10-15 years
15 or more years
Are you a member of the Certified Government Benefits Professional (CGBA) program? The CGBA program is SALGBA's certification program recognizing public sector benefits professionals.: *
Yes
No
Please select recent SALGBA conferences you have attended.: *
2022 SALGBA Conference
2021 SALGBA Conference
2020 SALGBA Virtual Conference
2019 SALGBA Conference
SALGBA 2019 Regional Conferences
None
Would you be willing to volunteer for a SALGBA Initiative in 2024? : *
Yes
No
Maybe
Please select the scholarship you are requesting.: *
Full Scholarship (Up to $1500 towards conference attendance)
Partial Scholarship (Up to $750 towards conference attendance)
If selected for a 2024 SALGBA Conference scholarship, I commit to attend the conference April 21-24 in Louisville, KY. I agree to reimburse SALGBA for any expense incurred if I am selected and then cancel attendance.: *
Yes
No



Completed applications are due no later than January 15, 2024.
 

SALGBA  |  PO Box 867  |Berea, KY  | 40403
Fax: 859-623-8694
Email: membership@salgba.org