WCCC 2016 Scholarship Application
Thanks for wanting to attend the West Coast Communities Conference! We work really hard to make it so that economics are not a barrier to joining us. We do ask that if you donate what you can for the event, to help offset food and lodging costs as well as help us afford to give more people discounts.

Please take a moment to fill out this questionnaire so we know some logistics around your visit and we will be in touch to confirm shortly. Please note that filling this out does not guarantee you a spot, as our events tend to fill up. If you have any questions you can e-mail us at events@groundswell.institute. Thank you!

What is your chosen name?
Your answer
What is your legal name? *
Your answer
What is your e-mail? *
Your answer
Do you want to camp or stay in a cabin? *
Any dietary needs?
Your answer
How would you like to help out? *
Your answer
Ideally, what day do you want to arrive? *
What day do you want/need to leave? *
How much can you afford to give? (none is o.k.) *
Your answer
Do you have any other special needs we should know about?
Your answer
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