CIIS Public Programs Scholarship Application
Use this form to apply for the CIIS Public Programs Scholarship Program. If selected, you will receive discounted or free tickets to the event of your choice.

Applications are due no later than 10 business days before the program begins. Applications received within 10 business days of a program will not be considered.

If you have any questions regarding this application, please contact Kyle DeMedio at kdemedio@ciis.edu or 415-575-6175.

Once your application is submitted, you will receive a response within 15 business days.

Personal Information
Name *
Your answer
E-mail Address *
Your answer
Phone Number *
Your answer
Are you a current CIIS Student? *
Have you previously received a scholarship from CIIS Public Programs *
Which event would you like to attend? (Please include name and date) *
Your answer
Application Questions
For the following prompts, please answer in 500 words or less.
Describe your financial situation and why you are applying for a scholarship with us. *
Your answer
Why is this event or presenter important to you? *
Your answer
How you will use the content in your life or work going forward? *
Your answer
Please provide any additional information about yourself that will help us understand why you deserve this scholarship.
Your answer
Scholarship Program Policies
I understand this application must be submitted at least 10 business days before my event date to be considered.

If I am a CIIS student, I understand this scholarship applies to public participant registration and NOT to academic credit.
By writing my name below, I confirm that the above information is true, and agree to the policies stated above. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.