Virginia Association of Housing Counselors. Contact Us

Scholarship Application Form

A limited number of scholarships are available to qualifying individuals to attend the 2012 Virginia Association of Housing Counselors Conference. Please refer to the Scholarship Guidelines for more information. Scholarships will only be accepted from February 1, 2012 through February 15, 2012.

Organization/Agency*

Supervisor or Executive Director Name*

Supervisor or Executive Director Address*

Supervisor or Executive Director Phone No*

Supervisor or Executive Director Fax

Supervisor or Executive Director Email*

Attendee’s Name*

Position/Job Title*

What Type(s) of Scholarship are you requesting? (check all that apply)*

Certification Cost

Conference Registration
Assistance with Hotel Accommodations

Please describe why you are applying for the scholarship. The information provided will be used to determine the need for the scholarship.*

Have you been awarded a scholarship in previous years? *

If Yes, which year ?

*= Required Information

Scholarship Guidelines