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DISABILITY-ABUSE.COM

SCHOLARSHIP APPLICATIONS for the Online Conference on Abuse of Children and Adults with Disabilities! September 9-29, 2004

Fill out the following form, or click here to review the instructions and eligibility criteria (will open in a separate window)

 

Scholarship Recipient Information
First Name
Last Name
Job Title
Agency/Organization
Suite# / Department
Street Address
City
State/Province
Zip/Postal Code
Country
Phone (1-555-1212)
FAX (1-555-1212)
Email
I have provided direct services to, or worked on behalf of, victims of crime/abuse in my professional capacity for at least 6 months. Yes No
I do not have sufficient funds to cover registration. True False
Agency Director/Supervisor Information
Our organization and our applicant have been working with crime victims, vicitims of abuse, and/or persons with disabilities for 6 months or more Yes No
Our organization does not have sufficient funds to cover the $150 registration fee. True False
Our organization will assure that APPLICANT will be provided the time and functional internet connection to attend all classes of this Conference, and that APPLICANT will be afforded the time and internet access to participate in post-conference contact with faculty and post-conference access to all training resources provided by the Online Professional Training Conference on Abuse and Disabilities. Yes No
Statement of Criteria: Provide a statement of how your organization meets this scholarship's criteria for award.
Affirmation: By filling out the following items, you, as the supervisor/director, are affirming that the information provided is true and accurate.
Your Name:
Your Title
Your Phone Number
Your Email
 

 

Share this information with your colleagues! Extraordinary interactive learning opportunity!

  • More that 20 one-hour workshops online, with world-class faculty
  • Every faculty member is available to workshop participants for 9 additional hours of contact
  • Extensive online resources are provided for each workshop
  • All workshops will be archived for later viewing by registrants.
  • All registrants have access to all materials through August 2005
  • Over 200 hours of direct faculty contact! CEU provided!
  • Membership in private listservs and forums included!
  • Link up with an international network of professionals dedicated to protecting children and adults with disabilities who have been victims of crime

 

 

Check out the great program of the 9th National 2nd International Conference on Abuse of Children and Adults with Disabilities!

Join our mailing list of people dedicated to the protection of children and adults with disabilities who have been victims of abuse.

See a basic reading list on child abuse and disabilities

Dedicated to the personal rights of children and adults with disabilities, with a mission to prevent abuse of people with disabilities and protect others from abuses that lead to disability.

Link to our special project on Child Abuse and Disabilities