OpenMRS 2019 Implementers' Conference Scholarship Application form
The OpenMRS community strives to provide scholarship opportunities to the annual implementers' conference for its community members. Scholarships can vary from covering the cost of the meeting or even covering travel.

If you are in need of financial support for you to attend our annual Implementers' Conference, please fill out this form.

Application Deadline is 1 October 2019.
First/Given name(s): *
Your answer
Family name: *
Your answer
Email Address *
Your answer
OpenMRS Talk ID: *
Your answer
Employment, project, or school affiliation (if any):
Your answer
Personal Information
Next
Never submit passwords through Google Forms.
This form was created inside of OpenMRS. Report Abuse