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DISABILITY CONFERENCE NAME:_______________________________________________________ ADDRESS: ___________________________________________________ CITY: ________________________________________________________ STATE/PROVINCE ________ ZIP ______________ COUNTRY:__________________________ HOME PHONE __________________________ WORK PHONE __________________________ EMAIL (required) _______________________________________________ NADT REGION: ____West _____ Central ____ East ____ Canada ____ International STATUS: (please check one) ______ Current drama therapy student enrolled at CIIS, NYU, or Concordia University. ______ Alternative Training Student registered with NADT. (You MUST include proof of status: copy of Student ID, letter from BCT, or copy of Alternative Training Contract). ________ Age 65 and over (please, include proof of status: copy of ID with birth date) Please, attach (or include) a one page typed essay that details your financial need for scholarship in order to attend the NADT Conference. Please address the other criteria, when applicable, which is listed under CRITERIA FOR SELECTION on the Disability Scholarship page which detailed the scholarship. Please, indicate any special circumstances, such as unemployment, disability, school loan repayment, or other issues which you think the committee should be made aware. Your essay will remain confidential and all essays will be shredded once awards have been made. Email required information and essay to: dtfund@dramatherapyfund.org Or snail mail to: The Drama Therapy Fund
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THE DRAMA THERAPY FUND |
