Apply for a Scholarship

Please complete the form to apply for a Scholarship

Approved Scholarships cover the Registration Fee.

Convention Meals are not included.

Your Name*

First

Last

Name on Badge*

First

Last Initial

Your Email*

Email confirmation*

Phone Number*

Area Code

-

Phone Number

Sobriety Date*

Can you be of Service?

Yes, I can give one hour of service while at the Convention. I will check in at the Registration desk.

61st Annual Convention - snjaa.org

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