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2013 MOSES Organic Farming Conference
New Organic Stewards Scholarship Application

Deadline: January 4, 2013
1. Contact Info
Farm/Business
Name
Address
City State Zip Country
Phone Email
MOSES will send all future scholarship correspondence via email, to the address above.
If you don't check your email regularly and would like your documents sent via regular mail, please check this box.
2. Have you attended the conference before? Yes     No
3. Have you received a conference scholarship before? Yes     No
4. Are you applying to volunteer at the conference? Yes     No
5. Amount you are applying for? (includes breakfast, lunch and snacks)
Apply for either a Conference Scholarship or an Organic University (OU) Scholarship. Not both. Thank you.
*If you are in need of additional scholarships for your children (ages 3-18), please contact Jessi at jessi@mosesorganic.org
Full Registration ($180) Friday only ($95) Saturday only ($95) OU ($150)
6. Please tell us about yourself.

What is your interest in organic and sustainable agriculture? Why are you requesting a scholarship? How do you hope to benefit by attending the conference?


Please fill out this form completely before you click on submit.
This institution is an equal opportunity provider.