Application for Seminar Grant from HAPNNApplication for Seminar Grant from HAPNN (please print) Applicant’s Name ______________________________ Name of Proposed Seminar______________________________ (Attach copy of seminar brochure) Location ______________________________ Date of Seminar ______________________________ Summary of HAPNN activities for past calendar year (Ex: served as officer, served on seminar committee, assisted with HAPNN sponsored event. Please be specific). __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Number of HAPNN business meetings attended past year (6 of 11 business meetings required)______________________ Funds may be used for any expense related to attendance at a national professional seminar. In return for sponsorship, I agree to make a brief update on the seminar at a future HAPNN business meeting. _________________________________ Signature of Applicant