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PubWest Membership Scholarships
PubWest is committed to making memberships available free for one year to Black Americans/Canadians in the publishing industry.
To apply, please fill out the form below.
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First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Phone number
Your answer
Street Address
*
Your answer
City
*
Your answer
State/Province
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Your answer
Zip Code
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Your answer
Country
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Your answer
Race/Ethnicity Identity (private)
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African-American, African, Black
Asian, South Asian, Asian American, Pacific Islander
Caucasian, White
Hispanic, Latinx
Middle Eastern, North African
Native American, American Indian, Alaskan
Biracial, Multiracial
Option Not Listed
Prefer Not to Say
Your Gender Pronouns
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he/him/his
she/her/hers
they/them/theirs
other
Prefer Not to Say
Identify as LGBTQIA? (private)
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Yes
No
Prefer Not to Say
Disabilities (as defined by the ADA)
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Deaf / hearing impaired
Mentally ill / psychiatric disability
Neurodivergent (Autism, ADD / ADHD, auditory, sensory processing differences)
Physical impairment
Low vision / visually impaired / blind
Chronic illness
Cognitive disabilities
Option not listed
I do not identify as having any disabilities as defined by the ADA
Age range (private)
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18-24
25-34
35-44
45-54
55-64
65 and above
Member Type
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Publisher
Student
Associate (businesses that support publishers)
Option 4
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