Young Women's Program Scholarship Ticket Request Form
The Massachusetts Conference for Women is pleased to offer scholarship tickets for junior and senior high school girls to participate in the Young Women's Program track at this year's Conference. Attendance for these young women and their chaperones is made possible by our generous sponsors.

This unique program enables our next generation of leaders to hear from dynamic speakers, exchange ideas and begin to chart their own paths.

To request scholarship tickets for a group of deserving young women, please complete the following form by September 29, 2017. Please know we do our best to accommodate as many schools/organizations as possible, and this may impact the number of scholarship tickets we can provide to each group. You will be notified at least one month out from the Conference (November 7, 2017) to let you know if we will be able to provide tickets to your school/organization.

Contact Name
Your answer
Contact Email
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Contact Phone
Your answer
Organization Name
Your answer
Organization Address
Your answer
What is your role within this organization?
Your answer
Organization Website Address
Your answer
Please indicate the number of young women you would like to bring to the Conference. Young Women's Program participants MUST be juniors or seniors in high school.
Your answer
Please indicate the number of chaperones you would like to bring to the Conference. We require one chaperone for every 5-10 girls.
Your answer
Has your organization received scholarship tickets to participate in the Young Women's Program track before?
If yes, please indicate the year(s).
Your answer
I understand the Massachusetts Conference for Women will notify me by the week of November 7th to let me know if scholarship tickets are available for my group. If we accept the Conference tickets at that time, I commit that my organization will use these tickets for students/chaperones. Likewise, I understand that all applications for scholarship tickets have to be submitted on or before Friday, September 29, 2017.
Enter your name and today's date to indicate agreement.
Your answer
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