LASD Conference

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Sr. Jo Ann Viviano Memorial Scholarship Application

You may apply by mail or using the form below. To apply by mail please download and print the form below.

Download the Form here

• Only Active Members of LASD may apply for a partial scholarship. • Applicants need to be able to cover 50% of the total cost. • We award a limited number of scholarships. Please submit your application by May 31, 2021. • Once registration is complete, if you need to cancel, the non-refundable policy is in effect.

Name*
First Last
Date*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email
Please attach a completed Conference Registration Form.*
Download Form Here
Accepted file types: pdf, docx, Max. file size: 128 MB.
Applicants need to be able to cover 50% of the cost. Please write in the amount (Dollar amount) you are requesting*
How are you active in Spiritual Direction Ministry?*
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