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Southwest Regional Conference First-Timer Application Form

Description: The state executive board approved two $500 stipends to be given to two first-time attendees to help with the costs of attending the 2005 Southwest Regional Conference July 13-16 in San Antonio, TX.

Process: If you have never attended a regional conference and would like to, please fill out the application form, print it out on your computer, and send via US Mail to:

Nyla Adamson, Scholarships Chairman
1901 Vintage Woods Court
Salt Lake City, UT 84117

Submission deadline: March 15, 2005
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SW Conference First-Timer Application Form
         Last                  First
   Name:  

  EMail: 

  Phone:  - (Home)

  Phone:  - (Work)

         Street                     City             State  Zip
Address:       


Member of   Chapter   Number of years: 


Briefly describe your chapter involvement in Delta Kappa Gamma,
including offices held and committee work:






Describe how you would be willing to share your experience
at the SW Conference with other members/chapters in Utah:
Applicant Signature _____________________________________ Date ____________

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