Unity + Inclusion Summit Miami - Diversity Scholarship Application
Want a complimentary ticket to the Unity & Inclusion Summit in Miami?

We'll be randomly selecting individuals to receive 1 ticket based on the below survey.

We will award these in 2 rounds:
1st round: Selected individuals will be notified around Wednesday, Feb 20.
2nd round: Selected individuals will be notified around Friday, March 1.

Please DO NOT fill this out if you are financially able to afford a ticket.
In an effort to be inclusive, we want to award these tickets to those who would be unable to attend otherwise.

Thank you, and we hope to see you at U+I Miami on Thursday, March 7!


Tickets: unityandinclusionmiami.eventbrite.com

More info about 500 Startups: 500.co

NOTE: Scholarship includes ticket price only. Lodging and transportation are not included.

Name *
Your answer
Company *
Your answer
Job Title *
Your answer
Email *
Your answer
Please tell us why you should receive a scholarship. What do you hope to get out of this event? *
Your answer
I am....
Submit
Never submit passwords through Google Forms.
This form was created inside of 500 Startups. Report Abuse - Terms of Service