ACLS19 DIVERSITY SCHOLARSHIP APPLICATION
For climate solutions activists and advocates from frontline, low-income, and/or communities of color.
The 2019 American Climate Leadership Summit Host Committee, with generous support from The Kresge Foundation, is excited to offer a limited number of scholarships to qualified participants. These scholarships include admission fees for locals, or admission plus a $500 to $750 travel stipend for those outside the greater DC area.
Eligible applicants will be from frontline, low-income, or communities of color currently active in climate solutions advocacy.
Applications will be accepted from Dec. 1, 2018 through April 1, 2019. Scholarships will be awarded on a rolling basis until fulfilled.
To apply, please answer every question below fully. Concise answers please! For any that do not apply or you are otherwise unable to answer, simply write "not applicable."
1. Full Name
2. Street Address, City, State, Zip Code
3. Phone Number
4. Email Address
19 or under
20 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
African American or Black
American Indian or Alaska Native
Hispanic, Latinx, or Spanish
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White or Caucasian
7. Are you a student?
8. If you are representing an organization, please indicate the name, address, mission, and approximate budget of that organization:
9. What communities do you serve, and how are you engaged already on climate change?
10. Any supplemental information or comments welcome!
Please indicate your inability to attend the summit without financial assistance.
Without financial assistance, I will not be able to attend ACLS19
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