South Dakota Local Foods Conference Travel Scholarship
Intertribal Agriculture Council and Dakota Rural Action put together travel scholarships for individuals engaged in tribal food systems to attend South Dakota’s Local Foods Conference held Nov. 1st & 2nd in Pierre, SD.


Scholarship application is open until the end of day Sunday, October 20th, after which scholarship can not be guaranteed.
Email address *
First Name *
Please use your legal name, as it appears on your tribally or government issued ID.
Your answer
Last Name *
Please use your legal name, as it appears on your tribally or government issued ID.
Your answer
Tribal Affiliation *
Your answer
Organization *
Your answer
Current position or job title *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Physical address from which you'll be departing *
Your answer
E-mail Address *
Please use e-mail frequently checked because this is the e-mail we will notify of scholarship award!
Your answer
Cell Phone *
Please include area code!
Your answer
Will you be registering to attend Friday, Saturday or both? *
Will you need scholarship for transportation to and from the Local Foods Conference? *
Will you need scholarship for lodging during the Local Foods Conference? *
Additional questions or comments?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Dakota Rural Action. Report Abuse - Terms of Service