GSCA Grant Application

September 30 (early bird deadline) is the deadline to join/renew membership, register and pay for the conference and apply for the grant.

First Name

Last Name

Title

School

Address

City

Zip Code

Email Address

Phone Number

Level

Are you a GSCA Member?

You must be a current member in order to be considered for funding. Sign up at www.gaschoolcounselor.org and click on “Join Us” if you are not currently a member.

Number of years you have been a school counselor

Budget Limitations

Provide a brief description of any budget limitations your school has that necessitate this grant application.

Total Amount Requesting & Description of Expenses

Reimbursement

NOTE: In order to be reimbursed, original receipts and GSCA Reimbursement Form must be submitted by November 15.

List other source(s) of funding and amount (i.e. school, personal, etc.)

How many GSCA conferences have you attended in the past?

List professional conferences or other professional learning activities that you have attended in the past two years other than GSCA.

What do you hope to accomplish from attending this professional development activity?

Redelivery Plan

If you are a recipient of the grant, we would like for you to redeliver information you learned at this conference to either your school, your district, school counselors in your region, or via a BEACON best practice article. Please discuss a tentative redelivery plan of the information you will acquire at the conference.

Principal’s Letter of Support

Please upload a letter of support from your school principal necessitating the need for you to receive this scholarship to attend this conference.

Drop your files here

Conference Registration

I certify that I have registered and paid for the annual conference

Please type your name to constitute your electronic signature

By providing my electronic signature below, I am declaring that the above information is accurate and that my supervisor has provided me with the approval to attend this professional development opportunity.

Date

Send me a copy of my responses

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