West Coast Faculty Conference 2018 Scholarship Request Form
Please fill out this form before completing the online registration at https://gfm.intervarsity.org/events/west-coast-faculty-conference. You will receive confirmation of your scholarship and a code for registration from Joe Thackwell (970 412-3808, westcoastfacultyconference@intervarsity.org).
Name (First, Last) *
Your answer
Email address and phone number *
Your answer
Is this your first time attending WCFC? *
With which academic institution(s) are you affiliated? *
Your answer
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).
Your answer
How much scholarship money are you requesting in order to make attending WCFC a possibility? *
Your answer
Please provide any relevant information that will help us allocate money based on your request. *
Your answer
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