Please send your completed application to Chair, Grants & Scholarships Committee, Jean-Paul Vivian, N.Y.S. Supreme Court Library - Nassau

ALLUNY MISCELLANEOUS PROGRAM GRANT APPLICATION

Multiple grants totaling $200 will be awarded to cover registration fees only to attend conferences, workshops, institutes, etc. sponsored by an association other than ALLUNY or AALL. Deadline for application is one month prior to the published meeting registration deadline.

Name:

Organization:

Position:

Address:

Phone: Fax

E-mail address:

For what purpose do you wish to use this grant? (Please attach photocopy of relevant registration/program material.)

How do you feel you will benefit from attendance at this meeting?

Years of ALLUNY membership:

Have you previously attended ALLUNY meetings?

If yes, when?

Describe your participation in ALLUNY. (Please list office(s) held, committee participation or other activities.)

Will your employer pay any or all of your expenses to attend this meeting?

If so, please state how much:

Have you previously received an ALLUNY grant/scholarship?

If so, please state the amount, year and purpose of award:

If I receive an ALLUNY award, and if for any reason cannot attend, I am required to inform the ALLUNY Grants Chairperson as soon as possible. In addition, I understand that recipients are required to write a brief article for the ALLUNY Newsletter summarizing the meeting/sessions attended which is to be submitted to the Editor for inclusion in the issue immediately following the meeting date.

Applicant's signature Date

Please send your completed application to Chair, Grants & Scholarships Committee, Jean-Paul Vivian, N.Y.S. Supreme Court Library - Nassau, 100 Supreme Court Drive, Mineola, NY 11501. Phone: (516) 442-8578. Fax: (516) 571-0752. Email: jvivian@courts.state.ny.us

Thank you.