NCSLC Event Scholarship Request Form
While the NCSLC works to minimize event costs and registration fees in order to make our events as accessible as possible to students and professionals, we also do our best to accommodate scholarship requests based on financial need.

Please complete the brief form below to request a full or partial scholarship to this event. Scholarship awards will be communicated via email by October 27, 2017.

Scholarship applications are confidential. Requested contact information will only be used to respond to applicants with updates on the process.

Thank you!

Name *
Your answer
Title *
Organization *
Your answer
Position Description *
Email address *
Your answer
Telephone number including area code *
Your answer
What type of scholarship are you requesting? *
If you selected a partial scholarship, what amount are you requesting?
Your answer
Are you willing to volunteer to assist with the event facilitation? *
Please provide a brief statement explaining your need for a scholarship. (No more than three to five sentences.) A NCSLC Board member may follow up if more information is needed. *
Your answer
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