2019 Tribes and First Nations Climate Summit: Scholarship Request
The Tribes and First Nations Climate Change Summit will be held at the Northern Quest Casino and co-sponsored by the Affiliated Tribes of Northwest Indians (ATNI), Bureau of Indian Affairs (BIA), and partnering with the North Pacific Landscape Conservation Cooperative (NPLCC), PNW Tribal Climate Change Network, and the Northwest Climate Adaptation Science Center, among others. More information and a registration link is available here: https://events.r20.constantcontact.com/register/eventReg?oeidk=a07eg8uyz2l9f009802&oseq=&c=&ch=

IMPORTANT!!! Fill out this form ONLY if you are requesting a scholarship to help pay for costs related to the 2019 Tribal & First Nations Climate Change Summit.

INSTRUCTIONS: In order to be considered for a scholarship to help cover travel costs, fill out this form as accurately and completely as possible. Scholarship application deadline is Friday, June 1, 2019.

Attendance is mandatory and essential to positive learning outcomes. Participants are expected to arrive on time to the event and all related activities. Participants are also expected to be in the room and remain attentive while the event is in session and to stay until the event is adjourned. The travel scholarship reimbursement may be withheld for participants who fail to adhere to the attendance and participation expectations.By signing below, you acknowledge that all information provided is true and that you have read and understand the terms of the scholarship as well as attendee expectations.IF A SCHOLARSHIP IS AWARDED, ALL EXPENSES WILL BE REIMBURSED WITHIN TWO WEEKS AFTER COMPLETION OF THE SUMMIT AND SUBMISSION OF ANY / ALL RECEIPTS. For questions or additional information, please contact Peggy Harris at: Peggy@seventhgenerationllc.com or (541) 215-2919. Please confirm ATNI (Peggy Harris) has received your request.

Name *
Your answer
Tribe (or Organization) *
Your answer
Title *
Your answer
Tribal Affiliation *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
1. Indicate the costs for which you are requesting assistance: *
Required
1.1. Please list your itemized costs and the total amount of your request here. *
Your answer
2. Will you be able to attend this conference if you are NOT provided a scholarship to help subsidize your travel costs? *
3. What specific tasks in your work relate to the topics of this conference? *
Your answer
4. How will you benefit from attending this conference? *
Your answer
5. How will your program benefit from you attending this conference? *
Your answer
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