Fellowship Application
Fellowships for free and discounted tickets to the 2019 California Bicycle Summit will be awarded based on need, with a priority to Californians from disadvantaged communities and those whose planned contributions are exemplary. Awardees will be notified beginning in June.
Email address *
Name *
Your answer
Phone number
Your answer
Zip Code *
Your answer
Why do you want to attend? What can you share with other participants? *
What knowledge do you have that you can share with other participants? Include the work you do in your own community.
Your answer
How much can you afford? How much do you need? *
Most fellowships will be in the form of discounted or free tickets. Some support for lodging and transportation will be available. Help us be as inclusive as possible by paying what you can afford. Please indicate below how much you can afford to pay, and if you will also need travel and lodging support.
Your answer
Do you identify as a person of color?
Your answer
What's your gender?
Your answer
Is there anything else you'd like to say?
Your answer
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This form was created inside of California Bicycle Coalition.