Scholarship Application
Convening Event Details
https://californialgbtqhealth.org/2019convening/

*Scholarships for the Wednesday program are exclusively for queer and trans community builders. The intent is to provide under-resourced queer and trans folks access to systems and tools, that we have historically been excluded from, specifically for the purpose of building capacity in LGBTQ communities.
*Allies are welcome to apply for a scholarship to attend the Rainbow Connection on Tuesday evening

Rainbow Connection
Tuesday, May 28th, 6:00 pm – 9:00 pm
- Fiesta open to everyone who supports the health and wellness of LGBTQ Communities
- An opportunity for local LGBTQ leaders from across California, policy makers, and foundation representatives to learn more about each other’s work, resources, and goals.

Workshops, Panels, and Plenaries
Wednesday, May 29th, 8:30 am – 6:00 pm
- Specifically for LGBTQ+ folks who want to learn how to build capacity in their local communities
- Panels, presenters, and mentors sharing skills with other queer and trans community builders for the purpose of learning about program and policy models to bring back and implement in their own communities.

Please tell us about you:
Preferred First Name *
Your answer
Preferred Last Name *
Your answer
Organization/Affiliation/Group
Your answer
Phone Number *
Your answer
Email *
Your answer
Pronouns
Your answer
Scholarship Considerations
Annual Household Income
Your answer
Number of Dependents (including you)
Your answer
Do you receive any of the following public aid?
Do you identify with any of the following under-resourced LGBTQIA communities?
Please tell us why you would be a great participant to have at the table:
Why do you want to attend the convening? *
Your answer
How do you currently engage in your communities? *
Your answer
How will you use skills, learned at the convening, to build capacity in your own community? *
Your answer
Logistics:
Are you available and do you plan to attend all or most of the convening? *
Do you have transportation or access to transportation to get to Sacramento? *
What is your plan for Sacramento lodging? *
Please help us know you better:
Anything else you would like for us to know?
Your answer
Racial and Ethnic Identity
Your answer
Gender Identity
Your answer
Sexual Orientation
Your answer
Relationship Orientation
Your answer
After you hit submit, email Mandy to let her know you applied.
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