Queer It Yourself 2017 Scholarship Application
Thanks for wanting to attend Queer It Yourself! We work really hard to make it so that economics are not a barrier to joining us. We do ask that if you donate what you can for the program, to help offset food and lodging costs as well as help us afford to give more people discounts.

Please take a moment to fill out this questionnaire so we know some logistics around your visit and we will be in touch to confirm shortly. Please note that filling this out does not guarantee you a spot, as our programs tend to fill up. If you have any questions you can e-mail us at events@groundswell.institute. Thank you!

What is your preferred name?
Your answer
What is your legal name? *
Your answer
What is your e-mail? *
Your answer
Do you want to camp or stay in a cabin? *
How would you like to help out? *
Ideally, what day do you want to arrive? *
DELETE THIS: Template: Day of Week, Date (Ex: Thursday, January 3rd)
What day do you want/need to leave? *
Do you have any other special needs we should know about?
Your answer
Have you been to a Groundswell program before? *
These are our scheduled events at Groundswell Institute, not work weekends or fundraisers.
How much can you afford to give? (none is o.k.) *
Your answer
Have you already attended one of our events this year on a scholarship?
Why do you need a scholarship?
Please only write 1 to 3 sentences
Your answer
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