Equity and Inclusion Scholarship Fund
We look forward to reading your application to Equity and Inclusion Scholarship Fund. The deadline to fill out the application is September 8, 2017.
Contact Information
Name
Your answer
Email
Your answer
City you live in
Your answer
Declaration of diversity: how would you describe yourself? Please define yourself in terms of demographics including ethnicity, age, gender, sexuality, etc. We want to know who you are!
Your answer
Organization/School (if applicable)
Your answer
Why would you like to attend the Convergence?
Your answer
How will you take back what you learned from the Convergence to your community?
Your answer
Scholarship Request
The general participation fee is $95/day. Please let us know how much you can contribute for your registration fee. We ask that you contribute at least $20.
Work Trade
Please let us know if you would consider volunteering your time for an hour or two during the Convergence.
Convergence Participation
When would you like to attend the Convergence?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms