Professional Development Grant Applicants

Admin Information

Date Submitted: July 19, 2014

Application Number: PDG-9

Admin Decision:  Approved – Edit

Date of Decision: July 24, 2014

Decision Comments: 

50%

Applicant Information

Name: Mary Rosamond Becker

Title/Position: Founder/President Opal’s Barn

Address Line 1: 3403 Pleasant Hill Road

Place of Employment

Farm/Program Name: Opal’s Barn

Supervisor’s Name: Rosie Becker

Supervisor’s Title: Founder/President

Address Line 1: 3403 Pleasant Hill Road

Experience

Years in Position: 2

Average Hours Per Week: 20

Do you have any certifications or licenses? No

Support Request

Is the request for a conference or meeting? Yes

Conference/Meeting Name: Professional Association of Therapeutic Horsemanship International Region 5

Hotel/Conference Center Name: Middle Tennessee State University

Provide justification for this request.

I would like to attend the PATH Region V Conference as I am in the process of becoming certified as a PATH Riding Instructor. The Region V Conference would provide me an opportunity to attend informative classes and meet other people in the world therapeutic riding.

Provide a detailed budget.

Conference $140Travel expenses-estimated $150 Lodging -estimated $120I am seeking the cost of the conference or 34% of the total cost

Other expected sources of support (including self-support).

I will be paying out-of-pocket for the entire conference.

Signatures

I/we certify that all of the information contained herein is correct and true.

Applicant Signature: