P&P Travel Subsidy Application Form Name * Name First First Last Last Organization/Institution * Email * Title * Where is your organization located? * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Outside of the U.S. What is your role in the organization? (please select the most relevant option) * Elected official at any level of government Senior executive or leader Program manage or director Program staff Educator (e.g., principal, teacher) Researcher/analyst/evaluator Other What is your role in the organization? (please select the most relevant option) Have you previously attended an AEFP conference? * Yes No What will be your role in the conference this year? * I am participating as a presenter, panelist, or session chair I am attending the conference but not speaking In order to maximize subsidy awards, please let us know what you are requesting? (select all that apply) * Conference registration and membership fees Travel stipend (up to $1,250 for transportation, hotel, airfare, and food) Resume Upload * Please upload your resume Choose File Maximum upload size: 10MB Please share any additional information here: If you are human, leave this field blank. Submit
