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Lactation Consultant Exam Tuition Reimbursement Scholarship Application Guidelines: 1. Be an active member of a local chapter of The New Mexico Breastfeeding Task Force. 2. Application is to be mailed to The New Mexico Breastfeeding Task Force by July 1 the year you are taking the exam. 3. Recipients must pass the exam to receive the scholarship. 4. If you are awarded a Lactation Consultant Exam Reimbursement scholarship, mail a copy of your exam results to the Task Force and a check will be mailed to you. 5. Recipients will be reimbursed for the early bird tuition. 6. A total of 5 Certification and 5 Recertification Scholarships will be rewarded. Name: _______________________________________ Address:_____________________________________ ____________________________________________ Phone:_(_____)_______________________________ Email address:________________________________ Name of your Local Chapter of The NM BF Task Force: ____________________________________________________________________________ How long have you been a member?______ With what projects have you been involved ___________________________________________________________________________ ___________________________________________________________________________ Signature of applicant:__________________________________________________________ Signature of Chair of local Task Force that you are a member: _______________________________________________ |
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mail to: The NMBFTF 430 Live Oak Ln NE Albuquerque, NM 87122 |