Conference Scholarship Form

This year IAWRP, with help from our Sponsors, will be awarding a scholarship to attend the North American Water Rescue Conference by IAWRP in South Bend IA. The Scholarship will cover registration for any of the Tracks offered and a seat in one Post-Conference class chosen by the winner.

Applications are Due January 31st 2024

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Are you s current member of IAWRP?

Yes

Have you ever attended any IAWRP Sponsered Events?

Yes

Number of Events Attended?

Background Information:

Rescue Employment Status

Full Time

Part Time

Volunteer

Agency Name

Agency Address*

Address Line 1

Address Line 2

City

State

Zip Code

Country

Agency Head Name

Agency Head Email

Copy of Water Rescue Certification

Choose File

Please Describe why you are the best candidate for a Conference Scholarship?

Conference Scholarship Form

Background Information:

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