The Kelly Gartley Memorial Professional Development Scholarship Application

Kelly Gartley served as an officer and committee chair for COSA for many years and worked as the Community Services Coordinator for the City of Port St. Lucie. She was dedicated to collaborating and supporting the work of health and human service agencies in our community to strengthen the local human services network. She also believed in lifelong professional development and continuing education for those who work in the field. Her energy and passion for making a difference were cut short unexpectedly in August of 2008. In honor of her memory and service, this annual professional development scholarship is awarded in her name.

This scholarship can be used for ANY professional development opportunity that meaningfully advances your professional growth in the human servces field, including but not limited to costs associated with:

Continuing education credits
Attending a conference (registration, travel, lodging, or related)
Post-secondary education, such as a college or master’s degree level course
Completing certification classes and/or a certification examination
Second language learning
Any others that contribute to your professional development!

Applicants must be a current and active member of the Council of Social Agencies.

If you are interested in being considered for this award, please complete the application below. While all fields are not marked as required, it is recommended that you include as much information as possible to simplify scoring and selection for reviewers.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

Office Phone

Please enter a valid phone number.Format: (000) 000-0000.

Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Organization Name*

Your Position Title*

Hire Date*

MonthDayYear

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Office Phone

Please enter a valid phone number.Format: (000) 000-0000.

Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Graduated

Major:

Minor:

MastersPh.D.Other

Area(s) of Study:

Additional information, if desired.

Program/Class/Seminar to be funded:*

Name of Hosting Entity:*

Indicate the goal of the training and how it will forward your professional development, and benefit your organization, clients, or the broader community:*

Upload letters of reference, documents related to the request (e.g., conference details, credentialing, course details, etc.).

The Kelly Gartley Memorial Scholarship Application

The mission COSA is to educate and promote communication, collaboration, coordination, and cooperation among member agencies and individuals for the enhancement of health and human services in the community.

Applicant

COSA Member Organization

Current Completed Education

Health & Human Services Professional Development