Cephalocon 2019 Diversity Scholarship Form
Cephalocon’s diversity scholarship program provides support to those from traditionally underrepresented and/or marginalized groups in the technology and/or open source communities (including, but not limited to: persons identifying as LGBTIQ, women, persons of color, and/or persons with disabilities) who may not otherwise have the opportunity to attend Linux Foundation events for financial reasons.

A number of scholarships will be provided and recipients will receive up to $2500 to reimburse actual travel expenses. Please note that you will be responsible to arrange and reserve your hotel and flight directly. You will then be reimbursed up to the maximum stipend amount of $2,500 USD after the event. The stipend may only be used for the following: economy class airfare, hotel/accommodations (up to three nights), and ground transportation (to and from the airport). Recipients will receive a complimentary conference registration, and meals provided during the event.

Scholarships are awarded based on a combination of need and impact. Selection will be made by an assembled group of reviewers who will assess each applicant’s request. All application information will be kept confidential.

Applications will be accepted through March 29, 2019. Announcements will be sent by April 10, 2019.

By submitting this form, you understand that the data you include will be submitted to The Linux Foundation and stored on Google's servers and that The Linux Foundation may contact you regarding this event. Personal data collected from this form is subject to The Linux Foundation’s and Google's respective Privacy Policies.

Email address *
Full Name *
Your answer
Company Name/Organization
Your answer
LinkedIn/Professional Website URL:
Your answer
Are you attending on behalf of a company? *
Can you receive funding from your company or organization for this event? *
Which underrepresented and/or marginalized group do you belong to? *
This question is solely to ensure scholarship funds are being allocated to eligible attendees. Aside from that, this information will not be used in the selection process.
Your answer
Briefly describe the ways in which you are involved in the technology and/or open source communities *
Your answer
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