Leadership Training Conference Grant Application

Contacts: Rachel Branson
[email protected]
Director, Leadership Training & Development
(202) 266-8169

Cooper Hoffmeyer
[email protected]
Manager, Leadership Training & Development
(202) 266-8009

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Applicant Information

First Name: Last Name: Email: Phone Number: Member Number (PIN): HBA: Please indicate your region:

Demographic Information

What is your current Leadership Title within your HBA? If Other, please share what leadership role you have previously served in: How many years have you been a member? What is your local membership size? What is your state association membership size?

Meeting Information

Select the �鶹TV Leadership Training Conference this grant would support:

Volunteer Service Information

How many years have you been involved with volunteering in the Federation? Please list any committees you have served on at your Local HBA. Please list any committees you have served on at your State HBA. Please list any committees you have served on at �鶹TV. Have you ever attended the IBS?

Yes No

I certify that I have not previously attended a �鶹TV Leadership Training Conference.

HBA Information

HBA Executive Officer Name: HBA Mailing Address: HBA Executive Officer Email:

Essay Question

The �鶹TV Leadership Training Conference Grant is designed for members to become more knowledgeable about the �鶹TV Federation and to further develop their leadership skills. How will receiving a grant help to further your career and/or association leadership goals?

Letter of Endorsement

You must upload a signed Letter of Endorsement from your Local or State HBA Executive Officer, your Local or State HBA President, a �鶹TV National Area Chairman (NAC), or from a �鶹TV State Representative (State REP). Only one Letter of Endorsement is required. Your application will not be considered if a letter of support is not received by the application deadline.

Note: If you do not currently have your signed letter of endorsement, you may email it to Brandon Moore-Rhodes.

Questions or Comments

Please share any questions or comments you have for �鶹TV staff.

Upon successful submission of this application, you will receive a confirmation email. If you do not, please contact Brandon Moore-Rhodes.

By submitting this form, I acknowledge that I will receive notification one month prior to the event that states if my application has been accepted.

If the Submit button is grayed out, please make sure that all required fields are filled in.

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