Utah Municipal Clerks Association - UMCA Scholarship Application

* Name of Municipality

* Name of Recorder/Clerk/Deputy

Full Address

Phone

Fax

Population

* Email

* The conference you wish to attend

Institute/Academy
Annual Conference

* I am requesting

Registration
Lodging
Registration & Lodging

* I am a duly appointed

Recorder
Clerk
Deputy

* I am an active member of UMCA Initial

* I have never attended (check all applicable)

Institute/Academy
Annual Conference
I have attended both

* I am currently working on my

CMC
MMC

* My city/town is unwilling or unable to fund the training. Initial

* I understand expenses for food (per diem) will be my responsibility, or will be paid by my municipality. Initial

* I understand I will be responsible for all paperwork, registration and reservations for the training and lodging. (UMCA will only reimburse cost of least expensive sponsor hotel). Initial

* I understand UMCA will reimburse my city/town for registration fees associated with Institute/Academy. If awarded a scholarship for UMCA Annual Conference, UMCA will cover the registration fee. Initial

* My Mayor or City/Town Manager has signed the Municipality Consent Form to be submitted with my application Upload the signed Consent Form here

* PLEASE explain in detail why you would like this scholarship (give reasons why it is important that you attend this conference or I/A).

* Signature of City Recorder/Clerk/Deputy

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UMCA Scholarship Application

*A "Municipality Consent Form" is required for all applications. The form must be signed by your Mayor/Manager and uploaded to your application (when prompted below). Download the Municipality Consent Form HERE