Scholarship Program Application- Deadline 9/13/15!
Thank you for filling out this application. Please don't forget to also register at www.tinyurl.com/stfaco and select the scholarship option. The last day to apply for a scholarship is September 13th at 11:59 pm EDT!
First Name *
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Last Name *
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Email address *
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Phone Number *
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How would you describe yourself? *
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STFA believes that for any social movement to succeed, they must follow the lead of impacted/affected community members who work closely with NGO staff. Would you consider yourself an affected or potentially affected community member? How do you see this concept as a guiding part of your work? *
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How long have you been involved in the struggle against dirty and unsafe fracking? *
What would you say is your biggest success in the oil and gas justice movement? What was your biggest failure? *
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In ten words or less, why should you receive a scholarship to attend the Stop the Frack Attack Summit? *
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Are you applying for: *
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If you are applying for a travel scholarship, what do you expect your travel costs to be? *
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