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2023 NEFHS Conference Scholarship Application
NEFHS Conference Scholarship Application 2023
The New England Federation of Humane Societies (NEFHS) is proud to offer scholarship funding in collaboration with the John T. and Jane A. Wiederhold Foundation for the 2023 Annual Conference in Hartford, CT (April 15 - 17, 2023)!
In accordance with the grantors wishes, priority will be given to applicants from organizations fitting the following criteria:
o Annual budget of less than $500,000
o Has not sent anyone to the conference in the past 3 years.
If your organization does not meet these criteria, you may still apply, and additional scholarships for people not meeting these criteria may be awarded as funds permit.
In order to ensure your application is considered, please read the information below and abide by the requirements for application submission. Incomplete applications will not be considered.
Scholarship Information:
o Thanks to the John T. and Jane A. Wiederhold Foundation, scholarship awardees will receive free conference registration, as well as free hotel room and mileage reimbursement for travel to the conference as needed. Mileage reimbursement will be capped at $200 per participant.
o Scholarship includes breakfast and lunch catered at the conference each day but does not included meals outside of the conference or other personal expenses.
o Do not register online for the conference until you have been notified by the Scholarship Committee about scholarship awards.
Scholarship Requirements & Conditions:
o Applications & supporting documents must be received by March 5, 2023 to be considered. Late applications will only be considered on a resource available basis.
o Complete this online form to apply for the scholarship.
------Be sure to have your essay and letter of reference ready for electronic submission.
------If you are unable to complete this online form, send completed application & supporting documents to the Scholarship Committee Chair, Devon Krusko, dkrusko@newenglandfed.org
o You must initial the Statement of Commitment and electronically sign the application.
o Please be sure to submit the application & supporting documents at the same time.
o Each person applying for a scholarship must submit a separate application.
Application
Your Name
First
Last
Home Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Your cell phone
###
-
###
-
####
Your Email
Organization Name
Organization Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Your Job Title/Responsibilities
Are you:
Staff
Volunteer
If you are staff, are you:
Full time
Part time
Not applicable
Did a NEFHS Board Member recommend that you apply for this scholarship?
No
Yes. Please give the board member's name below.
Have you or anyone from your organization attended a NEFHS conference in the last 3 years?
No
Yes
I don't know
What is the annual operating budget of your organization? If not sure, ask your supervisor for help.
$
Dollars
Which days are you requesting funding for conference registration? Check all that apply.
Sat, April 15, 2023
Sun, April 16, 2023
Mon, April 17, 2023
If you receive a scholarship will you be staying at the hotel?
I WILL stay at the hotel AND NEED my hotel covered by the scholarship.
I WILL stay at the hotel but do NOT NEED the hotel covered by the scholarship.
I will NOT be staying at the hotel.
Do you need scholarship funding to reimburse you for mileage?
I AM requesting mileage reimbursement for one round trip to the conference.
I AM commuting each day and am requesting mileage reimbursement for daily round trips to the conference
I AM NOT requesting mileage costs.
Mileage is reimbursed at 65.5 cents per mile and capped at $200/per participant.
If requesting mileage reimbursement what is your starting address?
My home address above.
My organization's address above.
What is your round trip mileage?
If multiple persons from an organization receive scholarships, please carpool.
There are multiple persons from my organization requesting scholarships. If more than one of us receives scholarships for the same days we WILL carpool.
There are multiple persons from my organization requesting scholarships. If more than one of us recieves scholarships for the same days, we will NOT be able to carpool.
Reimbursement checks should be made payable to:
My Name
My Organization's Name
Necessary Supporting Documents
Essay: In 700 words or less (or one page document if uploading a file), please describe:
~ Why you are interested in attending this program
~ How you hope to use what you learn at the conference
~How long have you been involved in animal welfare
~ How did you learn about this scholarship opportunity?
You may type directly into the space below, or upload a Word or PDF document.
Essay Upload (if not typing/pasting directly into the box above)
Letter of Support: Upload a one page (maximum) letter of support from a supervisor, colleague, or peer from the organization that you are representing explaining why you should be chosen to receive scholarship funding for this conference.
Statement of Commitment
I understand that scholarship funds are in high demand and not all applicants can/will be funded. I understand cancelling last minute or not attending without notice does not allow NEFHS to offer the funds to wait-listed applicants. I am initialing below to indicate my understanding that if I am to receive scholarship funds, I commit to attending the NEFHS Annual Conference.
Enter your initials here
Questions or Concerns?
Contact Devon Krusko, Scholarship Committee Chair, at dkrusko@newenglandfed.org.
For more information on the 2023 NEFHS Annual Conference visit www.newenglandfed.org.
Type your name here
By typing your name here, you are entering your electronic signature.
Be sure to complete the Smart Captcha box and click submit. Thank you for your interest!