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2004 COMMUNITY FOOD
SECURITY COALITION ANNUAL CONFERENCE
Name: _______________________________________________________________________ Organization:__________________________________________________________________ Address:_____________________________________________________________________ City:______________________________ State:_____________________ Zip:_____________ Phone: (day) ____________________________ (evening)______________________________ E-mail:________________________________________ Fax:___________________________ Applying for: ___ Scholarship ___ Work Trade If Work Trade, number of hours you want to work (maximum 8): ___ CFSC is still working to raise additional scholarship funds for this year, and there is a chance that a limited number of travel scholarships may be available. If you are applying for a registration scholarship and also interested in being considered for a travel scholarship, please indicate the amount of travel funding you would need: $____ . In order to be considered for a scholarship, please write a half page biography and description of how you would apply the learning from the conference to promote community food security in your area. (This portion is not required for work trade applicants.) Fax requests to: (310) 822-1440. Or mail to: CFSC, P.O. Box 209, Venice, CA 90294 Applications should
be sent to the attention of Maya Hagege. |
| Conference Information | Registration Form |