Application for Lactation Program Scholarship

Application for Lactation Program Scholarship -friend of WALC

WALC provides scholarships for non-WALC members who represent an underserved community in Wisconsin or nearby area, to take a basic lactation education program as they work toward qualifying to take the IBLCE exam. Letters of recommendation may be requested by the Board. WALC will pay the Early Bird Price for the Program. Qualifications: 1. Working in an underserved community in Wisconsin or nearby 2. Agree to send WALC President confirmation you have completed course or repay scholarship.

Today's Date*
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
How did you hear about our scholarship?*
Name & Date of program you would like to attend.*
****Include website link for program
How will this scholarship help you to provide service to breastfeeding families in an underserved Community?*
What skills do you bring to this work and how will this course impact your work?*
Will you receive financial support from another source to attend this program?*
If Yes, how much money is your other source providing:
I understand I need to send documentation showing I have completed the program to the WALC president and if I do not complete the program I agree to repay WALC the scholarship amount.*
- Yes, I understand I need to complete the course or repay the scholarship

WALC

Wisconsin Association of Lactation Consultants

Application for Lactation Program Scholarship – Friend of WALC

Application for Lactation Program Scholarship -friend of WALC

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