Scholarship Form
National Anti-Hunger Policy Conference

April 7-9, 2002

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(Please print out and send to FRAC)

__________________________________________
Name
__________________________________________
Organization 
__________________________________________
Street 
__________________________________________
City,State,Zip 
__________________________________________
Phone;Fax
_________________________________________
e-mail

America's Second Harvest Affiliate
National CACFP Forum
Anti-Hunger Advocate/Other___________________________________

Anticipated Expenses

$___________ Registration ($ per person)

$___________ Travel (please specify actual amount and whether it is by air, train, bus, car pool, etc.)

$___________ Hotel (include length of stay)

$___________ Total Anticipated Expenses

$___________ Organization Contribution

$___________ Personal Contribution

$___________ Total Scholarship Aid Requested

FRAC and America's Second Harvest will provide a limited amount of financial assistance, generally in the form of partial scholarships, for individuals with low incomes and organization representatives who would otherwise be unable to attend the conference.

Criteria for assistance include:

• need of the organization and individual
• representation from targeted states and areas
• diversity of attendees (race, geography, age, income, etc.)
• involvement in building national, state and/or local anti-hunger movement (leadership role in organization, support from organization, etc.)

All scholarship forms, accompanied by a letter detailing financial need for assistance, qualifications with regard to the above-stated criteria, and anticipated expenses, must be postmarked by March 9, 2002. Please submit a separate application form for each applicant.

Please send your letter and completed Scholarship and Conference Registration Forms to:
Food Research and Action Center
2000 National Policy Conference
1875 Connecticut Avenue, N.W., Suite 540
Washington D.C. 20009.
fax: (202) 986-2525

More Questions? Contact Robyn Lingo: 202/986-2200 x3017 fax: 202/986-2525; e-mail rlingo@frac.org.

Download .pdf Scholarship Form (.requires Acrobat Reader)