Specify any and all funds supplied by other source(s) indicating amounts and/or to what degree reimbursement may occur if based on grade (please explain why MLA funds are also needed): Amount of Reimbursement requested: (Must be filled in for consideration) Registration/tuition _____________ Mileage _____________ Meals (if activity is longer than ½ day) _____________ Lodging _____________ (please specify) __________________________ _____________ __________________________ _____________ __________________________ _____________ Total expenses _____________ Total funds from other sources _____________ Difference _____________ Amount requested from MLA Total: _____________ Office Use Only Member of MLA for at 6 months prior to the date of this application? Yes / No Previous awards Amount Date SUBMISSION DEADLINES: JANUARY 15 AND JULY 15 SUBMIT COMPLETED FORM TO: MARYLAND LIBRARY ASSOCIATION ATTENTION: EDUCATIONAL GRANTS SUBCOMMITTEE 1401 HOLLINS STREET BALTIMORE, MD 21223
Specify any and all funds supplied by other source(s) indicating amounts and/or to what degree reimbursement may occur if based on grade (please explain why MLA funds are also needed): Amount of Reimbursement requested: (Must be filled in for consideration) Registration/tuition _____________ Mileage _____________ Meals (if activity is longer than ½ day) _____________ Lodging _____________ (please specify) __________________________ _____________ __________________________ _____________ __________________________ _____________ Total expenses _____________ Total funds from other sources _____________ Difference _____________ Amount requested from MLA Total: _____________ Office Use Only Member of MLA for at 6 months prior to the date of this application? Yes / No Previous awards Amount Date SUBMISSION DEADLINES: JANUARY 15 AND JULY 15 SUBMIT COMPLETED FORM TO: MARYLAND LIBRARY ASSOCIATION ATTENTION: EDUCATIONAL GRANTS SUBCOMMITTEE 1401 HOLLINS STREET BALTIMORE, MD 21223
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