RootsCampLA 2019 Scholarship Application
Scholarships are LIMITED. Please complete this form ONLY if you are a struggling activist. DEADLINE TO APPLY IS February 24, 2019.
Name *
Please put your First and Last Name
Your answer
Email Address *
What's your email?
Your answer
Phone Number *
What's your best reach phone number
Your answer
Where are you located? *
City, State
Your answer
Reason for request *
"I am requesting this scholarship because..."
Will you be arriving Friday night or Saturday morning? *
Your answer will not affect your eligibility.
Can you help out by volunteering for a 2hr shift? *
What experiences will you bring to RootsCampLA? *
These experiences can be personal, volunteer, or employment related. These experiences can be learning lessons, skills gained, or questions you need to explore.
Your answer
What type of assistance is needed? *
Completing this answer does NOT guarantee we can award assistance for every need indicated. Lodging and travel will be accommodated by room sharing and car pool matching.
Required
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