RCon Scholarship Application Name * First Name Last Name Email * Phone * Solid Waste Agency/Company Enter your company (if applicable) What is your Title? How long have you been in this position? How many years have you been in the Solid Waste Industry? Are you under the age of 35? * Yes No What year did you join SWANA/ISOSWO? * Describe your commitment to ISOSWO and your dedication to the solid waste industry in Iowa. Please focus on what benefit ISOSWO will receive by sponsoring your attendance. * I Agree to the Following: * To present to the ISOSWO board a summary of your experience following attendance of the event. To prepare a write up for ISOSWO's e-newsletter summarizing the benefit you received from attendance and why other members should attend future conferences. Write up should include photos from your experience at the event. Release Statement * I certify that the information provided in this application is accurate and correct to the best of my knowledge. If I am awarded the sponsorship, I will attend event as required. In the event I am unable to attend, I will notify ISOSWO of my intention and I may be held accountable for any lost fees from the cancelation. ISOSWO reserves the right to publish the enclosed information. Applications become the property of ISOSWO. My signature gives ISOSWO the right to reprint any portion of this submittal. Agree Thank you!