West Coast Faculty Conference 2018 Scholarship Request Form
Please fill out this form before completing the online registration at
. You will receive confirmation of your scholarship and a code for registration from Joe Thackwell (970 412-3808,
Name (First, Last)
Email address and phone number
Is this your first time attending WCFC?
With which academic institution(s) are you affiliated?
Please list the names of any family members who you wish to register and the cost category they represent, such as adult (age 13+), child (age 3-12) or infant (0-2).
How much scholarship money are you requesting in order to make attending WCFC a possibility?
Please provide any relevant information that will help us allocate money based on your request.
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