Application: KON Conclave Scholarships for Advisers

Eligibility Criteria: For a national grant, an adviser shall

Please print this form, complete, and mail this application to:

Kappa Omicron Nu Honor Society, 4990 Northwind Drive, Suite 140
East Lansing, MI 48823-5031 · Tele: (517) 351-8335 · Fax: (517) 351-8336
e-mail: dmitstifer@kon.org

Name:

 

Chapter:

 

Address:



 

Telephone:

 

E-mail:

 
 

I agree to accept the conditions of the grant as stated above.

Date:

Signed:

B A C K