University of Illinois Extension

Illinois Small Farms

North Central Region SARE Professional Development Program

Travel Scholarship Post-Conference/Event Survey

Please Note: You will be asked 6 - 12 months after the conference/event how you used the information in your work. You will also be asked how many people (farmers, educators, others) with whom you shared the information and how (newsletter, answered client questions, field days, etc.) you shared the information. Revised February 2009

Applicant Information

Name
Phone	999-999-9999
Email
Address
City
State	Two-letter code, like IL
Zip Code	Five-digit code, like 61820
Name of Event