Catholic JournalismGrant ApplicationScholarship Fund

 

     

 

Date             

 

Name       

 

Publication                How long have you associated with publication?           

 

Category of CPA membership        Registered Agent      Staff      Other

 

Position       

 

Address       

 

City               State             ZIP       

 

Phone                                                           Email       

 

Supervisor       

May we contact your supervisor?

 

I am applying for a grant to attend        at College                University     

Sponsoring organization     

 

 

How will this course/program/workshop benefit you, your publication and your readers?       

 

Are you receiving other financial aid?

 

 

Annual income           Dependents       

 

 

Return this form to:      Sonya Stephens sstephens@catholicpress.org

                                    Association Coordinator

Catholic Press Association

                                    205 West Monroe St, Ste 470

                                    Chicago, IL 60606