2016 PPI Graduate Student Assistant Scholarship Application Applications must be received by: April 20, 2016 Every summer NASP partners with George Washington University (GW), Graduate School of Education and Human Development (GSHED) to host a Public Policy Institute in Washington, DC. NASP annually offers two scholarships to school psychology graduate students who have a strong interest in attending the institute, a desire to advocate for school psychology, and are willing and able to volunteer prior to and during the institute in exchange for a complimentary registration. (Note: All travel expenses are the responsibility of the graduate student assistant. This scholarship is for a complimentary registration only.) Applications for this scholarship must be received by close of business on April 20th. Scholarship award recipients will be selected by the NASP Government and Professional Relations (GPR) committee and staff and notified by email by May 6 2016. APPLICATION INFORMATION I. Background Information: Name: ________________________________________________________________________________ University Attending: ____________________________________________________________________ Street Address:__________________________________________________________________________ City, State, Zip: __________________________________________________________________________ Phone: ________________________________________________________________________________ Email: _________________________________________________________________________________ II. Description of Typical Duties of PPI Graduate Student Assistant: Collate Copy Staple Assemble materials including PPI binder, Capitol Hill folders, speaker gifts, etc. Before the first day of PPI: Assist in loading, materials at our Bethesda office and unloading materials on the GW Campus. (Note: This requires some heavy lifting of boxes, food, and drink.) Assist in PPI Day 1 setup and registration (6:30 am start time) o Check in attendees o Handout materials o Set up breakfast o Load ice and sodas into cooler Assist in daily set up (7am start time) and clean up and making sure everything is ready for the next day. Assist with miscellaneous tasks as assigned during the PPI. (These tasks typically will not interfere with your participation in PPI instructional sessions.) III. Required Dates of Service: We require all volunteers to work in the NASP office (4340 East West Hwy, Bethesda, MD 20814) Wednesday (July 13), Thursday (July 14), and Friday (July 15). It is possible that volunteers may also have to meet on Saturday and Sunday for a couple of hours. Weekend needs are “to be determined”. Volunteers are required to help set up and clean up daily during the institute. IV. Background Questions: 1. Which PPI training are you interested in attending? (mark one) □ Basic 3 Day (July 18-20, 2016) □ Advanced 5 Day (July 18-22, 2016) 2. Are you available to begin your work on July 13, 2016 as required and willing to continue serving in this role throughout your attendance at PPI? (mark one) □ Yes □ No 3. Are you able to perform the duties of the student graduate assistant as indicated above? □ Yes □ No 4. Please write a brief one paragraph statement on why you think that you should be selected to receive this scholarship. Please include information about your interest in learning and applying advocacy skills. V. Terms of Agreement The awarding of a scholarship would represent NASP’s faith that you have: A strong interest in attending the PPI; A desire to advocate for school psychology; and A willingness to use the skills you will learn at the PPI to further advance advocacy in your state. Our intention is for you to help promote increased outreach and communication to your public officials and to increase awareness throughout NASP membership that advocacy is a professional obligation. In addition to sharing the benefits of this training with others, we are asking as a condition of your acceptance of any scholarship, that you commit to at least two of the following activities (mark all that apply): □ □ □ □ Enlisting a group of fellow graduate students or school psychologists to join you for a visit to one of your Congressional Representatives or Senators in their local office Writing an advocacy related article for your state school psychology association newsletter or the NASP Communiqué Volunteering for a two hour shift at the Government and Professional Relations (GPR) Convention booth at the 2017 NASP Convention (and/or future conventions) Other advocacy related activity proposed by you and approved by the NASP GPR committee. If applicable, please detail your proposed activity: In submitting this application, you are affirming that you understand and accept these conditions and your responsibility for promoting advocacy activities including, but not limited to, the activities outlined in this document. Further, you understand that if granted a scholarship award that this award has no monetary value and will be in the form of a complimentary registration to either the 3-day basic or 5-day advanced PPI. _______________________________ Your signature ___________________________ Date All scholarship applications must be received by close of business on April 20, 2016. Please send completed forms to Christina Koch, NASP Manager of Professional Relations, at FAX 301-657-0275, email ckoch@naspweb.org or snail mail NASP, 4340 East West Highway, Suite 402, Bethesda, MD 20814.