EBX Scholarship Form
At EBX we are about access. You want to be there and we want you there regardless of financial hardship. Please fill out the form below to apply for a scholarship. We also ask that all scholarship applicants also sign up to be a volunteer as well. You can do that here at this link: http://goo.gl/forms/fDURycrsw6
Full Name *
Phone Number *
Email *
Why do you want to come to this event?
What interests you the most about it?
Why do you feel you need a scholarship? *
How do you make your living?
What is your average monthly income? *
What is the maximum amount you could contribute towards the cost of your ticket? *
We want you to be there, but we are also trying to cover our expenses; so please contribute whatever you can.
We prefer that scholarship recipients volunteer at the event. Would you be willing and able to give some of your time to make this thing happen? *
If you can't volunteer, please explain why. Know that we can coordinate volunteering around personal/physical limitations. If you can volunteer, please fill out the volunteer form: (http://goo.gl/forms/fDURycrsw6).
Anything else we should consider?
Submit
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