WICSEC Scholarship Application

WICSEC 2022 Scholarship Application

DEADLINE: Wednesday, August 31, 2022
I certify that I have never attended an in-person WICSEC conference as a registered attendee. *

Yes No
Name *

First Name Middle Name Last Name
Job Title *
Organization/Agency *
Mailing Address *

Street Address

Apt/Unit #

City State

Zip Code
Email *
Work Phone Number *

Area Code Phone Number
Mobile Phone Number

Area Code Phone Number
Length of time in Child Support Program *
Director's Name *
Director's Phone Number *

Area Code Phone Number
Director's Email *
Describe a time where you dealt with an issue within the child support agency with an unusual problem and your solution to the problem. *

0/300
What has been your most rewarding experience with the Child Support Program? *

0/300
How will attending the WICSEC conference help you in your child support career? *

0/300
How will attending the WICSEC conference benefit your agency and the customers you serve? *

0/300
Applicant's Electronic Signature *

Clear
Date *

Month Day Year
Download and complete this form to submit with your application. *
Upload completed Scholarship Application Authorization Form. *
This form is required to be considered for a scholarship.
By submitting this application for consideration, I certify that I understand and accept the requirements for the scholarship outlined above and that I have my director’s approval to attend the WICSEC Annual Training Conference in in person or virtually, if awarded this scholarship.

If you have questions regarding any part of this application, how to complete it, or the requirements for its submission, please contact marie.waite@co.kings.ca.us or mbean@deloitte.com, subject: Scholarship.
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WICSEC 2022 Scholarship Application