2016 Diversity Registration Waiver and Travel/lodging Scholarship Application - As of June 20, 2016 applications are no longer being accepted. email diversity_2016@gp.org for further information.
The Green Party has allocated at least 15 registration waivers for individuals who are traditionally disenfranchised. This includes women, people of color, youth and LGBT persons. Waivers and subsidies will only be granted to people eligible to be a member of one of the GPUS caucuses. These are Women’s, Black, Latinx, Youth, or Lavender.

Applications are due no later than May 20, 2016. We will notify you of an award on or about June 1, 2016. Applicants that do not receive a waiver will be able to purchase registration at the earlybird rate of $100.

Any applications received after May 20, 2016 will be considered ONLY if there are available resources.

REGISTRATION WAIVERS
Diversity waivers cover the meeting registration fee only. If you receive a waiver, you will still need to cover your lodging, food and travel unless you also are approved for a scholarship. We also have a very limited amount of money to allocate for travel and lodging subsidies.

TRAVEL/LODGING SUBSIDIES
---Any travel/food/lodging subsidy you receive will be reimbursable. You must pay the expense up front and submit receipts after the meeting. If you get a subsidy, you will be reimbursed shortly after the meeting. No funds will be available before the meeting.
---You must contribute a minimum of 10% of the cost of your trip. This may be personal funds, state or local funds or from fundraising.
---Please use the least expensive mode of transportation and the least expensive housing options possible for your situation.
---The maximum you may receive is a total of $500 not including the cost of registration.

This application is confidential and will only be shared for the purposes of granting fee waivers. A sub-committee of the Annual National Meeting Committee will make decisions on waivers. Preference will be given for all waivers to people who have never attended an Annual National Meeting or Presidential Nominating Convention. Other considerations include local and state party activity, GPUS committee activity, Green National Committee (GNC) delegate/alternate status and Presidential Nominating Convention (PNC) Delegate status.

Because this is a nominating convention, we have to report any subsidies anyone receives to the FEC. Your application is still confidential but if you get a waiver or subsidy of any kind, we will need to report that. Please do not apply unless you agree to have your name submitted to the FEC which is a public website.

Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Home Phone
Your answer
Other Phone
Your answer
E-Mail Address *
Your answer
GPUS Committee Activity
Your answer
Local/State Green Party Activity
Your answer
Name/Phone/Email Reference *
(Someone that can attest to your GP activity)
Your answer
Are you a GNC Delegate/Alternate?
Your answer
Please list any other green activism or Green Party work not listed above.
Your answer
Have you ever attended a Green Party national meeting?
Your answer
If yes, when?
Your answer
Have you previously received a GPUS Diversity Committee fee waiver?
Priority will be given to people who have not received this waiver in the past.
Your answer
Arrival date
Departure Date
Name/phone/email for reference
Someone that can verify your green involvement
Your answer
Caucus eligibility *
You do not have to be a member of a caucus but you must be eligible to be a member.
Delegate status
Are you a National Delegate/Alternate or PNC Delegate/Alternate - check all that apply
State/Local Party involvement
Check all that apply
Have you attended a prior Annual Meeting or Presidential Convention. If so, what was the last meeting attended.
Your answer
Please briefly describe what you hope to gain by attending the 2016 PNC.
Your answer
Where will you be staying?
Total - estimated housing cost
Are you willing to share a room?
How will you travel?
Estimated total travel cost
Estimated food costs
Total estimated meeting cost (food, lodging, travel) (not including registration)
Your answer
How much do you expect to contribute to the meeting cost?
You are encouraged to contribute at least 10%.
Your answer
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