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<div><font face="Tahoma" size="2" style="font-size:10pt">Mona Robinson, PhD, LPCC-S, LSW, CRC A</font><span style="font-family:tahoma; font-size:small">ssociate Professor and Chair</span>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:16px"><font face="tahoma" size="2">Department of Counseling and Higher Education</font></div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:16px"><font face="tahoma" size="2">Clinical Rehabilitation Program Coordinator</font></div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:16px"><font face="tahoma" size="2">Ohio University</font></div>
<div style="font-family:Calibri,Arial,Helvetica,sans-serif; font-size:16px"><font face="tahoma" size="2">The Gladys W. and David H. Patton College of Education </font></div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> CESNET-L is a unmoderated listserv concerning counselor ed. & supervision <CESNET-L@LISTSERV.KENT.EDU> on behalf of Hailey Martinez <marthail@ISU.EDU><br>
<b>Sent:</b> Tuesday, November 17, 2015 2:28 PM<br>
<b>To:</b> CESNET-L@LISTSERV.KENT.EDU<br>
<b>Subject:</b> 2015 ASGW- ACA Student Volunteer Scholarship Award</font>
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<p align="center" style="font-size:13px; text-align:center"><b><i><span style="font-size:17pt; font-family:'Arial Narrow'">ACA Conference 2016</span></i></b></p>
<p align="center" style="font-size:13px; text-align:center"><b><span style="font-size:17pt; font-family:'Arial Narrow'; color:rgb(52,52,52)">Montr¨¦al, QC, Canada</span></b><b><span style="font-size:17pt; font-family:'Arial Narrow'"></span></b></p>
<p align="center" style="font-size:13px; text-align:center"><b><i><span style="font-size:17pt; font-family:'Arial Narrow'">ASGW Student Volunteer Scholarship Application</span></i></b><span style="font-family:'Arial Narrow'"></span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'">The <b>Association for Specialists in Group Work (ASGW) Graduate Student and New Professionals Committee</b> is offering an exciting opportunity for graduate students to meet and interact with
leading group counseling professionals at the American Counseling Association Conference </span><span style="font-family:'Arial Narrow'">in </span><span style="font-family:'Arial Narrow'; color:rgb(52,52,52)">Montr¨¦al, QC, Canada</span><span style="font-family:'Arial Narrow'"> on
March 31-April 3, 2016.</span></p>
<p style="font-size:13px"> </p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'">In return for <i>seven hours</i> of their time volunteering at the conference, graduate student volunteers will receive a $100 stipend. Volunteers will also have the option to share a room
free of charge on Thursday and Friday night</span></p>
<ul type="disc" style="font-size:13px; margin-top:0in">
<li class="MsoNormal" style="margin-top:1.4pt; margin-bottom:1.4pt; margin-left:15px">
<span style="font-family:'Arial Narrow'">Student volunteers need to be enrolled in a full-time graduate program at the time of the conference.</span></li><li class="MsoNormal" style="margin-top:1.4pt; margin-bottom:1.4pt; margin-left:15px">
<span style="font-family:'Arial Narrow'">Student volunteers need to be current student members of ASGW and ACA.</span></li><li class="MsoNormal" style="margin-top:1.4pt; margin-bottom:1.4pt; margin-left:15px">
<span style="font-family:'Arial Narrow'">Applications must be submitted electronically (scanned and emailed) and include<a name="15116c2ec96dfc87__GoBack" style="color:rgb(34,34,34)"></a> this application form along with a 500 word personal statement addressing
the following questions:</span></li></ul>
<p style="font-size:13px; margin:1.4pt 0in 1.4pt 0.75in"><span style="font-family:'Arial Narrow'">1.<span style="font-size:7pt; font-family:'Times New Roman'"> </span></span><span style="font-family:'Arial Narrow'">How do you believe your professional
development and leadership might be enhanced through conference attendance and involvement in professional organizations such as ASGW?</span></p>
<p style="font-size:13px; margin:1.4pt 0in 1.4pt 0.75in"><span style="font-family:'Arial Narrow'">2.<span style="font-size:7pt; font-family:'Times New Roman'"> </span></span><span style="font-family:'Arial Narrow'">Do you have any previous professional
association volunteer or conference activity experience, and what are your reflections on these experiences?</span></p>
<p style="font-size:13px; margin:1.4pt 0in 1.4pt 0.75in"><span style="font-family:'Arial Narrow'">3.<span style="font-size:7pt; font-family:'Times New Roman'"> </span></span><span style="font-family:'Arial Narrow'">What experiences have you had in group
work and what about group work interests you?</span></p>
<p class="MsoNormal" style="font-size:13px"><span style="font-family:'Arial Narrow'">The application deadline to be considered for a student volunteer scholarship is <b><i>January 25<sup>th</sup> by 5:00 pm MST. </i></b>Please note that you will be contacted
by <b><i>February. 15<sup>th</sup></i></b><i> </i>if you have been selected as a volunteer scholarship recipient (priority is placed on a first come first serve basis as well as responses to the questions above).</span></p>
<p class="MsoNormal" style="font-size:13px"><span style="font-family:'Arial Narrow'"> </span></p>
<p class="MsoNormal" style="font-size:13px"><span style="font-family:'Arial Narrow'">I, ________________________, certify that I am a member of ASGW and ACA. </span></p>
<p class="MsoNormal" style="font-size:13px"><span style="font-family:'Arial Narrow'">My ASGW membership expires on:</span></p>
<p class="MsoNormal" style="font-size:13px"><span style="font-family:'Arial Narrow'">My ACA membership expires on:</span></p>
<p class="MsoNormal" style="font-size:13px"><span style="font-family:'Arial Narrow'"> </span></p>
<p class="MsoNormal" style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">Name:</span></b><span style="font-family:'Arial Narrow'; color:black"><b></b></span></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">Address:</span></b><span style="font-family:'Arial Narrow'; color:black"> <b>City/State/Zip:</b></span></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">Primary Phone #:</span></b><span style="font-family:'Arial Narrow'; color:black"><b></b></span></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">Best e-mail address:</span></b></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">Graduate program and University:</span></b><span style="font-family:'Arial Narrow'; color:black"></span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'; color:black"> </span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'; color:black">Signature:</span><span style="font-family:'Arial Narrow'; color:black"> ______________________________________________Date: __________________ <br>
<br>
<b></b></span></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">Faculty Attestation: I, <i>(print name) _________________________________________________</i></span></b></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'; color:black">confirm that the above student is a graduate</span></b><span style="font-family:'Arial Narrow'; color:black"> <b>student enrolled in the program named above.</b></span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'; color:black"> </span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'; color:black">Faculty Signature:________________________________________Date:____________________</span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'; color:black"> </span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'; color:black">Faculty members may also email attestation information to <a href="mailto:marthail@isu.edu" target="_blank"><span style="color:windowtext">marthail@isu.edu</span></a> from their
university email address.</span><span style="font-family:'Arial Narrow'"></span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'"> </span></p>
<p style="font-size:13px"><span style="font-family:'Arial Narrow'">Please email your completed application form and 500 word personal statement by<b></b></span></p>
<p style="font-size:13px"><b><span style="font-family:'Arial Narrow'">January 25<sup>th</sup></span></b><span style="font-family:'Arial Narrow'"> to Hailey Martinez at <a href="mailto:marthail@isu.edu" target="_blank">marthail@isu.edu</a>.</span></p>
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<p style="margin:0in 0in 0.0001pt; font-size:11pt; font-family:Calibri,sans-serif">
<span style="color:rgb(0,0,0); font-family:georgia,serif; font-size:small">Hailey N. Martinez, LPC, NCC</span><br>
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<div dir="ltr"><font face="georgia, serif" size="2"><font color="#000000">Doctoral Candidate</font></font></div>
<div dir="ltr"><font face="georgia, serif" size="2"><font color="#000000">Counselor Education and Counseling<br>
</font></font><span style="color:rgb(0,0,0); font-family:georgia,serif; font-size:small">Department of Counseling </span></div>
<div dir="ltr"><font face="georgia, serif" size="2"><font color="#000000">Idaho State University</font></font></div>
<div dir="ltr"><font face="georgia, serif" size="2"><font color="#000000"><a href="mailto:marthail@isu.edu" target="_blank">marthail@isu.edu</a></font></font><span style="color:rgb(0,0,0); font-family:georgia,serif; font-size:small"> </span></div>
<div dir="ltr"><font face="georgia, serif" size="2"><font color="#000000"><br>
</font><span style="color:rgb(0,0,0)">"It is a great privilege to be human so that we can develop our humanity and be human in mind, in reality as well as in form."</span><span style="color:rgb(0,0,0)"> </span><font color="#000000"><br style="line-height:18px">
<span style="line-height:18px">¨D Hazrat Inayat Khan</span></font></font>
<div><font face="georgia, serif" size="2" color="#000000"><span style="line-height:18px"><br>
</span> CONFIDENTIALITY NOTICE: Email is not a confidential form of communication as it could potentially be accessed by unauthorized persons without your permission. This communication is for the sole use of the intended recipient and may contain confidential
or privileged information. Any unauthorized review, disclosure, distribution, or other use of this email is prohibited. If you received this email in error, please notify the sender and destroy all copies of the original message.</font><br>
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