MTSA Educator Conference Grant Application County and Region * Alcona – Region 1 Alger – Region 5 Allegan – Region 3 Alpena – Region 1 Antrim – Region 1 Arenac – Region 2 Baraga – Region 5 Barry – Region 3 Bay – Region 2 Benzie – Region 1 Berrien – Region 3 Branch – Region Calhoun – Region 3 Cass – Region 3 Charlevoix – Region 1 Cheboygan – Region 1 Chippewa – Region 5 Clare – Region 1 Clinton – Region 2 Crawford – Region 1 Delta – Region 5 Dickinson – Region 5 Eaton – Region 2 Emmet – Region 1 Genesee – Region 2 Gladwin – Region 1 Gogebic – Region 5 Grand Traverse – Region 1 Gratiot – Region 2 Hillsdale – Region 3 Houghton – Region 5 Huron – Region 2 Ingham – Region 2 Ionia – Region 3 Iosco – Region 1 Iron – Region 5 Isabella – Region 2 Jackson – Region 4 Kalamazoo – Region 3 Kalkaska – Region 1 Kent – Region 3 Keweenaw – Region 5 Lake Leelanau – Region 1 Lapeer – Region 2 Lenawee – Region 4 Livingston – Region 2 Luce – Region 5 Mackinac – Region 5 Macomb – Region 4 Manistee – Region 1 Marquette – Region 5 Mason – Region 1 Mecosta – Region 2 Menominee – Region 5 Midland – Region 2 Missaukee – Region 1 Monroe – Region 4 Montcalm – Region 3 Montmorency – Region 1 Muskegon – Region 3 Newaygo – Region 3 Oakland – Region 4 Oceana – Region 3 Ogemaw – Region 1 Ontonagon – Region 5 Osceola – Region 2 Oscoda – Region 1 Otsego – Region 1 Ottawa – Region 3 Presque Isle – Region 1 Roscommon – Region 1 Saginaw – Region 2 Sanilac – Region 2 Schoolcraft – Region 5 Shiawasee – Region 2 St. Clair – Region 4 St. Joseph – Region 3 Tuscola – Region 2 VanBuren – Region 3 Washtenaw – Region 4 Wayne – Region 4 Wexford – Region 1 Educator First * First Educator Last * Last Email * Phone * Why do you want to attend MTSA Conference? * Mailing Address * Mailing Address Mailing Address Mailing Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Applicants.... * Must work with transition students must be employed by a school district, ISD, state or Agency. must have a funding need that is not met through other sources Are you a current MTSA member? * Yes No Do you plan on attending... * In-Person Virtual Signature * Clear If you are human, leave this field blank. Submit
