Diversity Support Ticket
We care about building a companionable community of truly enthusiastic experts in JavaScript programming regardless of gender, sexual orientation, abilities, mother tongue, religion or ethnicity.
Sign in to Google to save your progress. Learn more
Your name and surname *
Country, city *
Job Title *
Company Name *
Email *
Phone Number
How many years of experience do you have in your role? *
What underrepresented group(s) are you a member of? *
What do you hope to achieve by attending this conference? *
Please list any nonprofit groups or initiatives you are a part of and your role in each *
How did you hear about the scholarship program? *
Anything else you’d like the scholarship committee to know? (i.e. Github profile, links to side projects, website, etc.) *
Are you available to attend the duration of the conference? *
If you are selected, do you agree to abide by the OdessaJS Code of Conduct? http://odessajs.org/Code_of_Conduct.pdf *
If employed, have you confirmed with your manager that your company will not cover the cost of attending the conference? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy