Scholarship Application Defending Attorney

Defending Attorney Information

Name*
First Last
Idaho State Bar (ISB) #*
Organization/Office*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Program you are requesting funding to attend:
Organization Name*
Course Name*
Link to Course Description/Agenda
Date and Location*
Describe how the course relates to your public defense practice*
Is this course on the PDC CLE accredited list (https://pdc.idaho.gov/training-attorneys/)?*
- Yes
- No * If not, please submit the detailed information necessary for review and addition to the PDC CLE accredited List.
Does the organization provide scholarships for attendees?
- Yes
- No
If yes, have you applied for a scholarship?
- Yes
- No
If yes, how much have you received and what is it to be used for?
Funding from other sources:
Does the Institutional Office/County provide funding for your training?
- Yes
- No
If yes, have you requested funding from the Institutional Office and/or County for training funds?
- Yes
- No
If yes, how much have you received and what is it to be used for?
Provide a breakdown of the funding you are requesting:
Registration
Flight Estimate
Hotel Estimate
Materials Estimate
Mileage Estimate
Other Estimate
Describe Other
TOTAL REQUESTING
Attach any relevant documents (copy of requested flight details, hotel information, registration fees, other)
Max. file size: 128 MB.
Other Attachments
Max. file size: 128 MB.
Signature*

I understand that if my application is approved, I must prepare for and attend all sessions of the training program, and immediately notify the PDC if I cannot attend or fully participate in the program. Sign your name by typing it in the space provided above.

Public Defense Commission

816 W. Bannock Street, Suite 201
Boise, ID 83702
(208) 332-1735
(208) 364-6147
info@pdc.idaho.gov

ver: 3.5.2 | last updated: August 24, 2021 at 03:01 pm

Defending Attorney Information

Program you are requesting funding to attend:

Funding from other sources:

Provide a breakdown of the funding you are requesting: