Cost-sharing Scholarship application

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If you would like to be considered for a Cost-sharing Scholarship, please complete the following form and an Andrus Center representative will be in touch with you. The Andrus Center will make purchased scholarships available to qualifying registrants for a nominal $30 entrance fee. Select sponsors and individuals have generously provided resources to the cost-sharing scholarship program to minimize any barriers for attendee engagement and in support of the Women and Leadership conference vision.

Email *

First and Last Name *

Organization, if any

Attendee email address *

Phone number *

Please provide a brief summary of how COVID-19 and/or recent events have directly affected you financially. *

Gender *

Female

Male

Non-binary

Prefer not to say

Age *

Education Level *

Current Position *

Field *

Why are you hoping to attend? *

How did you hear about the Andrus Center Women and Leadership Conference *

Have you attended the Women and Leadership Conference in the past? *

First year

Multiple years

I attended last year

Have you attended a virtual conference online before?

Yes

A webinar only

Other:

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Send me a copy of my responses.

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