Student Scholarship Application Deadline to apply is Friday, June 23, 2023. "*" indicates required fields Step 1 of 4 25% Name* First Last Email* Enter Email Confirm Email Preferred Phone*Address* Street Address City State / Province / Region ZIP / Postal Code I plan to attend the conference (check all that apply)* Monday Tuesday Wednesday Thursday Select All College/UniversityTo qualify, you must show evidence that you are a recent (2022) graduate of a Pennsylvania college or university, or plan to graduate in 2023, with a major in special education or a related field. Please attach a signed letter of recommendation from a university professor on this application.College/University* University ID #* Student Level* Undergraduate Graduate I have a bachelor's degree in* Major* Estimated Graduation Date*Semester and Year ReferralName of professor referring you* Department of the professor* Letter of Recommendation*Upload a signed letter of recommendation from the professor (PDF, JPG, PNG).Accepted file types: pdf, png, jpg, jpeg, Max. file size: 20 MB. Have you ever attended the Penn State National Autism Conference before?* Yes No Do you or a family member have a diagnosis of autism?* Yes No Do you plan to work in Pennsylvania after graduation?* Yes No Not sure Do you plan to work with children or adults with autism upon graduation?* Yes No Not sure EmailThis field is for validation purposes and should be left unchanged.
